Vertebral Artery Dissection Quiz

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Reviewed By:

Maxwell J. Nanes, DO

Maxwell J. Nanes, DO (Emergency Medicine)

Dr Nanes received a doctorate from the Chicago College of Osteopathic Medicine and went on to complete a residency in emergency medicine at the Medical College of Wisconsin. There he trained at Froedtert Hospital and Children's Hospital of Wisconsin in the practice of adult and pediatric emergency medicine. He was a chief resident and received numerous awards for teaching excellence during his time there. | | After residency he took a job at a community hospital where he and his colleagues worked through the toughest days of the COVID-19 pandemic. |

Shohei Harase, MD

Shohei Harase, MD (Neurology)

Dr. Harase spent his junior and senior high school years in Finland and the U.S. After graduating from the University of Washington (Bachelor of Science, Molecular and Cellular Biology), he worked for Apple Japan Inc. before entering the University of the Ryukyus School of Medicine. He completed his residency at Okinawa Prefectural Chubu Hospital, where he received the Best Resident Award in 2016 and 2017. In 2021, he joined the Department of Cerebrovascular Medicine at the National Cerebral and Cardiovascular Center, specializing in hyperacute stroke.

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Content updated on Mar 31, 2024

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  • Vertebral Artery Dissection as well as similar diseases can be checked at the same time.

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People with similar symptoms also use Ubie's symptom checker to find possible causes

  • Eyes keep shaking

  • One eye won't close completely

  • Prolonged nystagmus

  • Eyes swaying from side to side all the time

  • Eyes not tracking together

  • Unable to wrinkle one half of my forehead

  • Eyes are moving rapidly

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What is Vertebral Artery Dissection?

The vertebral artery is in the neck and provides blood to the brain. A vertebral artery dissection occurs when there's a tear in the artery's inner lining, disrupting blood flow to the brain and causing a stroke. This typically happens due to a blunt force to the neck.

Typical Symptoms of Vertebral Artery Dissection

  • Small involuntary eye movements

  • Unable to move my face

  • I feel like I'm spinning around / vertigo

  • Eyeballs cannot move properly, and cannot look in a certain direction

  • Weakness on one side of the body

  • Double vision

  • Difficulty pronouncing words

  • Headache

Doctor's Diagnostic Questionson Vertebral Artery Dissection

Your doctor may ask these questions to check for this disease:

  • Do you have small involuntary eye movements?

  • Do you struggle to control your facial muscles?

  • Do you feel like your surroundings are spinning?

  • Do you have difficulty moving your eyes in a specific direction?

  • Are you experiencing an inability to move one side of your body?

Treatmentof Vertebral Artery Dissection

Dissections often heal on their own and have a good prognosis. Treatment aims to reduce future stroke risk by using blood thinners and anticoagulants.

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References

  • Saw AE, McIntosh AS, Kountouris A. Vertebral artery dissection in sport: Expert opinion of mechanisms and risk-reduction strategies. J Clin Neurosci. 2019 Oct;68:28-32. doi: 10.1016/j.jocn.2019.07.016. Epub 2019 Aug 6. PMID: 31399319.

    https://www.jocn-journal.com/article/S0967-5868(19)30151-1/fulltext

  • Braga BP, Sillero R, Pereira RM, Urgun K, Swift DM, Rollins NK, Hogge AJ, Dowling MM. Dynamic compression in vertebral artery dissection in children: apropos of a new protocol. Childs Nerv Syst. 2021 Apr;37(4):1285-1293. doi: 10.1007/s00381-020-04956-1. Epub 2020 Nov 6. PMID: 33155060.

    https://link.springer.com/article/10.1007/s00381-020-04956-1

  • Harada T, Harada Y, Shimizu T. Vertebral Artery Dissection after Exposure to Levofloxacin: A Report of Two Cases. Intern Med. 2021 Sep 1;60(17):2863-2865. doi: 10.2169/internalmedicine.6736-20. Epub 2021 Mar 22. PMID: 33746163; PMCID: PMC8479225.

    https://www.jstage.jst.go.jp/article/internalmedicine/60/17/60_6736-20/_article

User Testimonials

Reviewed By:

Maxwell J. Nanes, DO

Maxwell J. Nanes, DO (Emergency Medicine)

Dr Nanes received a doctorate from the Chicago College of Osteopathic Medicine and went on to complete a residency in emergency medicine at the Medical College of Wisconsin. There he trained at Froedtert Hospital and Children's Hospital of Wisconsin in the practice of adult and pediatric emergency medicine. He was a chief resident and received numerous awards for teaching excellence during his time there. | | After residency he took a job at a community hospital where he and his colleagues worked through the toughest days of the COVID-19 pandemic. |

Shohei Harase, MD

Shohei Harase, MD (Neurology)

Dr. Harase spent his junior and senior high school years in Finland and the U.S. After graduating from the University of Washington (Bachelor of Science, Molecular and Cellular Biology), he worked for Apple Japan Inc. before entering the University of the Ryukyus School of Medicine. He completed his residency at Okinawa Prefectural Chubu Hospital, where he received the Best Resident Award in 2016 and 2017. In 2021, he joined the Department of Cerebrovascular Medicine at the National Cerebral and Cardiovascular Center, specializing in hyperacute stroke.

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