Diagnosis of Spontaneous Internal Carotid and Vertebral Arteries Dissection
Abstract
Internal carotid and vertebral arteries dissection has become increasingly recognized as a cause of stroke especially in young and middle aged individuals. Accurate and prompt diagnosis of this condition is crucial because timely and appropriate therapy can significantly reduce the risk of stroke and long-term sequelae. Because of the great diversity in the clinical features of internal carotid and vertebral artery dissection, imaging plays a primary role in its diagnosis. The purpose of this article is to evaluate the possibilities of magnetic resonance tomography and angiography in the diagnosis of this pathology. Special attention is paid to MRI and MR-angiographic pathologic features of dissection, their changes in dynamics, potential pitfalls in image interpretation, the differential diagnosis with other steno-occlusive lesions of the arteries. In conclusion, we offer MRI-protocol patients with suspected spontaneous dissection of the internal carotid and vertebral arteries.
About the Authors
Marina V. Dreval'
Research Center of Neurology
Russian Federation
Russian Federation
Ph. D. Med., Junior Researcher of Radiology of Department
Lyudmila A. Kalashnikova
Research Center of Neurology
Russian Federation
Russian Federation
M. D. Med., Professor, Principal Researcher
Larisa A. Dobrynina
Research Center of Neurology
Russian Federation
Russian Federation
M. D. Med., Senior Research Scientist
Marina V. Krotenkova
Research Center of Neurology
Russian Federation
Russian Federation
M. D. Med., Head of Department of Neuroradiology
Elena V. Doronina
Research Center of Neurology
Russian Federation
Russian Federation
Radiologist, Neuroradiology Department
Rodion N. Konovalov
Research Center of Neurology
Russian Federation
Russian Federation
Ph. D. Med., Senior Scientist of Neuroradiology Department
Aleksandr S. Suslin
Research Center of Neurology
Russian Federation
Russian Federation
Ph. D. Med., Researcher of Neuroradiology Department
Vasiliy V. Bryukhov
Research Center of Neurology
Russian Federation
Russian Federation
Ph. D. Med., Researcher of Neuroradiology Department
Elena I. Kremneva
Research Center of Neurology
Russian Federation
Russian Federation
Ph. D. Med., Researcher of Neuroradiology Department
Anastasiya N. Sergeeva
Research Center of Neurology
Russian Federation
Russian Federation
Ph. D. Med., Junior Researcher of Neuroradiology Department
Sof'ya N. Morozova
Research Center of Neurology
Russian Federation
Russian Federation
Junior Researcher of Neuroradiology Department
Irina A. Krotenkova
Research Center of Neurology
Russian Federation
Russian Federation
Ph. D. Student of Neuroradiology Department
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Review
For citations:
Dreval' M., Kalashnikova L., Dobrynina L., Krotenkova M., Doronina E., Konovalov R., Suslin A., Bryukhov V., Kremneva E., Sergeeva A., Morozova S., Krotenkova I. Diagnosis of Spontaneous Internal Carotid and Vertebral Arteries Dissection. Radiology - Practice. 2016;(3):35-49. (In Russ.)
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