Occlusion of the vertebral artery secondary to dissection of the subclavian artery - Case report

Yasushi Iwamuro, Ichiro Nakahara, Masato Tanaka, Toshio Higashi, Yoshihiko Watanabe, Kei Harada, Motoaki Fujimoto, Takayuki Oku

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11 Citations (Scopus)

Abstract

A 34-year-old man presented with occlusion of the left vertebral artery (VA) secondary to dissection of the left subclavian artery manifesting as vertigo, nausea, vomiting, and neck pain. On admission, he was alert with left limb and truncal ataxia. Magnetic resonance (MR) imaging and MR angiography showed left cerebellar infarction and occlusion of the left VA. Conventional angiography and three-dimensional computed tomography (3D-CT) angiography showed stenosis with thrombosed pseudolumen of the left subclavian artery, and occlusion of the left VA. Presumably the idiopathic dissection of the left subclavian artery had reached the orifice of the left VA, and an embolism from the dissection had caused occlusion of the VA, leading to cerebellar infarction. After one month, he was discharged without severe neurological deficits. Idiopathic dissection of the subclavian artery is very rare. 3D-CT angiography is very useful for the diagnosis of arterial dissection.

Original languageEnglish
Pages (from-to)97-99
Number of pages3
Journalneurologia medico-chirurgica
Volume45
Issue number2
DOIs
Publication statusPublished - 02-2005

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

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