Three cases of vomiting-associated cervical artery dissection

Rebecca Clarke, Ananyo Bagchi, Arnab Rana, Vipin Tyagi, John M. Reid (Corresponding Author)

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Abstract

Extracranial Cervical Arterial Dissection (CAD) affects 10-25% of young onset Acute Ischaemic Stroke (AIS) patients. We report three cases of CAD in young AIS patients (ages 14, 18 and 49) associated with prior vomiting. All three cases presented within five weeks of each other at a single centre, lived in a specific region in North-east Scotland suffering an outbreak of winter vomiting and were treated with IV thrombolysis. These cases are noteworthy for several reasons; reports of stroke in children treated with thrombolysis are rare, and new UK guidelines for stroke thrombolysis in children have been published; secondly we speculate that infective gastroenteritis triggered CAD, and thirdly the two younger cases developed vertebral artery pseudoaneurysms which are rare in CAD. In one case the presence of an anomalous vertebral artery course between the first and second cervical vertebrae may have predisposed to dissection.
Original languageEnglish
Article number1004
Number of pages5
JournalJournal of Radiology and Medical Imaging
Volume1
Early online date25 May 2018
Publication statusPublished - 2018

Fingerprint

Vomiting
Dissection
Arteries
Stroke
Vertebral Artery
Cervical Vertebrae
False Aneurysm
Gastroenteritis
Scotland
Disease Outbreaks
Guidelines

Keywords

  • cervical artery dissection
  • paediatric stroke
  • thrombolysis
  • pseudoaneurysm

Cite this

Three cases of vomiting-associated cervical artery dissection. / Clarke, Rebecca; Bagchi, Ananyo; Rana, Arnab; Tyagi, Vipin; Reid, John M. (Corresponding Author).

In: Journal of Radiology and Medical Imaging, Vol. 1, 1004, 2018.

Research output: Contribution to journalArticle

Clarke, Rebecca ; Bagchi, Ananyo ; Rana, Arnab ; Tyagi, Vipin ; Reid, John M. / Three cases of vomiting-associated cervical artery dissection. In: Journal of Radiology and Medical Imaging. 2018 ; Vol. 1.
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