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Spontaneous Vertebral Artery Dissection in a Healthy 26 Year Old Female Patient: A Case Study

Spontaneous Vertebral Artery Dissection in a Healthy 26 Year Old Female Patient: A Case Study Spontaneous vertebral artery dissection (SVAD) is an extremely rare, yet life-threatening, event that can potentially result in ischemic stroke or subarachnoid hemorrhage, depending on the origin and extension of the dissection. Vertebral artery dissection is more commonly associated with traumatic injury to the neck, resulting in compromised structural integrity of the vertebral artery wall. This case study discusses the clinical presentation, physical examination, diagnosis, clinical course, and outcome for a young, otherwise healthy, female patient who presented to the emergency department with a SVAD. Key words: arterial dissection, vertebral artery LTHOUGH THE INCIDENCE of verte- diagnosis a crucial component of decreasing bral artery dissection (VAD) is only ischemic stroke morbidity and mortality in A 1 per 100,000, spontaneous vertebral this young population. artery dissection (SVAD) is considered to Vertebral artery dissection is generally clas- be even more rare, accounting for only 2% sified as extracranial, or intracranial, and trau- of all ischemic strokes (Rodriguez, Berrios, matic, or spontaneous. There is some debate & Ramos, 2016). Studies have shown that regarding whether or not the incidence SVAD VAD may account for as many as 20% of is- is more likely attributed to vascular or connec- chemic stroke events in patients http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Advanced Emergency Nursing Journal Wolters Kluwer Health

Spontaneous Vertebral Artery Dissection in a Healthy 26 Year Old Female Patient: A Case Study

Reap, Valerie, J.
Advanced Emergency Nursing Journal , Volume 40 (1) – Mar 1, 2018
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References (6)

Publisher
Wolters Kluwer Health
ISSN
1931-4485
eISSN
1931-4493
DOI
10.1097/TME.0000000000000174
Publisher site
See Article on Publisher Site

Abstract

Spontaneous vertebral artery dissection (SVAD) is an extremely rare, yet life-threatening, event that can potentially result in ischemic stroke or subarachnoid hemorrhage, depending on the origin and extension of the dissection. Vertebral artery dissection is more commonly associated with traumatic injury to the neck, resulting in compromised structural integrity of the vertebral artery wall. This case study discusses the clinical presentation, physical examination, diagnosis, clinical course, and outcome for a young, otherwise healthy, female patient who presented to the emergency department with a SVAD. Key words: arterial dissection, vertebral artery LTHOUGH THE INCIDENCE of verte- diagnosis a crucial component of decreasing bral artery dissection (VAD) is only ischemic stroke morbidity and mortality in A 1 per 100,000, spontaneous vertebral this young population. artery dissection (SVAD) is considered to Vertebral artery dissection is generally clas- be even more rare, accounting for only 2% sified as extracranial, or intracranial, and trau- of all ischemic strokes (Rodriguez, Berrios, matic, or spontaneous. There is some debate & Ramos, 2016). Studies have shown that regarding whether or not the incidence SVAD VAD may account for as many as 20% of is- is more likely attributed to vascular or connec- chemic stroke events in patients

Journal

Advanced Emergency Nursing Journal – Wolters Kluwer Health

Published: Mar 1, 2018

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