Odontogenic Pain as the Principal Presentation of Vertebral Artery Pseudoaneurysm; a Case Report
Archives of Academic Emergency Medicine,
Vol. 3 No. 3 (2015),
1 August 2015
,
Page 122-124
https://doi.org/10.22037/aaem.v3i3.283
Abstract
Dissection of the vertebral artery is an important but rare cause of cerebrovascular accidents. Here we report a 48-year-old man with toothache since 4 days before who presented to the emergency department with neck pain and final diagnosis of dissecting right vertebral artery pseudoaneurysm. To our knowledge, this maybe the first report of odontogenic pain as the first manifestation of vertebral artery pseudoaneurysm in the literatures.- Vertebral artery dissection
- toothache
- stroke
How to Cite
References
Mokri B, Houser OW, Sandok BA, Piepgras DG. Spontaneous dissections of the vertebral arteries. Neurology. 1988;38(6):880-2.
Schievink WI, Mokri B, O'Fallon WM. Recurrent spontaneous cervical-artery dissection. N Engl J Med. 1994;330(6):393-7.
Gottesman RF, Sharma P, Robinson KA, et al. Clinical characteristics of symptomatic vertebral artery dissection. A systematic review. The Neurologist. 2012;18(5):245-54.
Kasmaei HD, Baratloo A, Nasiri Z, Soleymani M, Yazdani MO. Recombinant Tissue Plasminogen Activator Administration in Patients With Cerebrovascular Accident; A Case Series. Arch Neurosci. 2015;2(2):e23315.
Frost EA. Neurosurgery Tricks of the Trade: Cranial. J Neurosurg Anesthesiol. 2013;26(4):420-1.
Baumgartner R, Bogousslavsky J, Caso V, Paciaroni M. Clinical manifestations of vertebral artery dissection. Front Neurol Neurosci. 2005;20:77-86.
Krespi Y, Gurol ME, Coban O, Tuncay R, Bahar S. Vertebral artery dissection presenting with isolated neck pain. J Neuroimaging. 2002;12(2):179-82.
Chappell ET, Moure FC, Good MC. Comparison of computed tomographic angiography with digital subtraction angiography in the diagnosis of cerebral aneurysms: a meta-analysis. Neurosurgery. 2003;52(3):624-31.
Tanoue S, Kiyosue H, Kenai H, Nakamura T, Yamashita M, Mori H. Three-dimensional reconstructed images after rotational angiography in the evaluation of intracranial aneurysms: surgical correlation. Neurosurgery. 2000;47(4):866-71.
Malhotra AK, Camacho M, Ivatury RR, et al. Computed tomographic angiography for the diagnosis of blunt carotid/vertebral artery injury: a note of caution. Ann Surg. 2007;246(4):632-43.
Brown M, Rogers J, Bland J. Endovascular versus surgical treatment in patients with carotid stenosis in the Carotid and Vertebral Artery Transluminal Angioplasty Study (CAVATAS): a randomised trial. The Lancet. 2001;357(9270):1729-37.
Kitanaka C, Tanaki J-I, Kuwahara M, Teraoka A, Sasaki T, Takakura K. Nonsurgical treatment of unruptured intracranial vertebral artery dissection with serial follow-up angiography. J Neurosurg. 1994;80(4):667-74.
Halbach VV, Higashida RT, Dowd CF, et al. Endovascular treatment of vertebral artery dissections and pseudoaneurysms. J Neurosurg. 1993;79(2):183-91.
Khurana DS, Bonnemann CG, Dooling EC, Ouellette EM, Buonanno F. Vertebral artery dissection: issues in diagnosis and management. Pediatr Neurol. 1996;14(3):255-8.
De Bray J, Penisson-Besnier I, Dubas F, Emile J. Extracranial and intracranial vertebrobasilar dissections: diagnosis and prognosis. J Neurol Neurosurg Psychiatry. 1997;63(1):46-51.
Shah Q, Messé SR. Cervicocranial arterial dissection. Curr Treat Options Neurol. 2007;9(1):55-62.
- Abstract Viewed: 403 times
- PDF Downloaded: 6135 times
- HTML Downloaded: 47 times