Critical Consideration in Surgical Approach to the Neck in a Case of Absent Common Carotid with Concurrent Anomalous Vertebral Artery

Abstract

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When headache is just too much—A case report and literature review of bilateral vertebral artery dissection

“…While some cases are associated with disorders affecting blood vessels or connective tissues, such as fibromuscular dysplasia, Ehlers‐Danlos syndrome, and Marfan syndrome, the majority of patients diagnosed with spontaneous vertebral artery dissection have no prior knowledge of any related underlying conditions. In most “spontaneous” cases, minor mechanical event coincides with the occurrence 7,9–11 …”

“…In most "spontaneous" cases, minor mechanical event coincides with the occurrence. 7,[9][10][11] Studies conducted by Engelter et al in 2013 and Traenka et al in 2017 suggest that approximately 31%-40% of cervical artery dissections are preceded by some form of mechanical trauma. Although major incidents like roadside accidents and sports-related injuries are linked to cervical artery dissection, more minor mechanisms are more commonly observed.…”