Case Report
Volume 5 Issue 7 - 2021
Vertebrobasilar Artery Dissection Stroke- Case Report and Literature Review
Abrão José Melhem Jr1,5*, Lucas Viomar de Lima2, Vinicius Duarte Lemos3, Natach Wysocki Küster4 and David Livingstone Alves Figueiredo1,5
1Professor, Department of Medicine, Middle Western Paraná State University, Guarapuava, PR, Brazil
2Internal Medicine Resident, Middle Western Paraná State University, Guarapuava, PR, Brazil
3Medical Student, Middle Western Paraná State University, Guarapuava, PR, Brazil
4Neurologist, São Vicente Charity Hospital, Guarapuava, PR, Brazil
5Researcher, Cancer Research Institute, Guarapuava, PR, Brazil
*Corresponding Author: Abrão José Melhem Jr., DEMED - Department of Medicine, Universidade Estadual do Centro-Oeste - UNICENTRO, Alameda Elio Antonio Dalla Vecchia, Vila Carli, Guarapuava, Paraná, Brazil.
Received: May 31, 2021; Published: June 23, 2021




Abstract

Vertebrobasilar dissection is an uncommon cause of stroke and persistent vertebrobasilar insufficiency, and its image documentation in vivo is reported since 1978. Etiology investigation in many cases is frustrating. Trauma, artery dysplasia, cardiovascular risk factors and efforts are cited as possible causes. Presentation as a subarachnoid hemorrhage or an ischemic stroke, with potential life-threatening complications, are the main clinical and image findings. Treatment can be conservative, endovascular, or open surgical. We describe a 35-year-old woman, who presented to emergency room with occipital headache, transitory loss of consciousness, and generalized seizures, with hemiparesis and nystagmus. Magnetic resonance showed cerebellar and pontine infarction, vertebral artery dissection, with stenosis of basilar artery. In-hospital evolution was concerning, with tetraparesis and coma state, so she needed critical care and was conducted with anticoagulation, physiotherapy and contingence measures. Six-month outcome is considered excellent. We also present a literature review of this condition.

Keywords: Stroke; Cerebellar; Pontine; Vertebrobasilar; Artery Dissection

References

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Citation: Abrão José Melhem Jr., et al. “Vertebrobasilar Artery Dissection Stroke- Case Report and Literature Review”. EC Emergency Medicine and Critical Care 5.7 (2021s): 42-49.

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