Podcast # 418: Vertebral Artery Dissection

Podcast # 418: Vertebral Artery Dissection

Author: Don Stader, MD

Educational Pearls:

  • Vertebral artery dissection (VAD) contributes to just 2% of strokes overall but ~25% of strokes for patients < 30
  • VAD is associated with minor trauma (chiropractic manipulation, yoga), typically with neck extension and rotation.
  • VAD can cause posterior stroke symptoms (vertigo, diplopia, Horner's Syndrome, Wallenberg Syndrome)
  • Overall a good prognosis with around 50% of patients recovering without lasting neurologic deficits.

References:

Debette S, Leys D. Cervical-artery dissections: predisposing factors, diagnosis, and outcome. Lancet Neurol. 2009 Jul;8(7):668-78. doi: 10.1016/S1474-4422(09)70084-5. Review. PubMed PMID: 19539238.

Gottesman RF, Sharma P, Robinson KA, et al. Clinical characteristics of symptomatic vertebral artery dissection: a systematic review. Neurologist. 2012;18(5):245-54.

Schievink WI. Spontaneous dissection of the carotid and vertebral arteries. N Engl J Med. 2001 Mar 22;344(12):898-906. Review. PubMed PMID: 11259724.

Summarized by Travis Barlock, MS4 | Edited by Erik Verzemnieks, MD

Tämä jakso on lisätty Podme-palveluun avoimen RSS-syötteen kautta eikä se ole Podmen omaa tuotantoa. Siksi jakso saattaa sisältää mainontaa.

Jaksot(1169)

Podcast 1014: Eating and Drinking on Shift

Podcast 1014: Eating and Drinking on Shift

Contributor; Aaron Lessen, MD Educational Pearls: A 2026 survey asked Canadian emergency medicine (EM) physicians about their eating and drinking habits while on shift. Among 527 respondents, 35%...

27 Heinä 2min

Podcast 1013: Thoracotomy Indications

Podcast 1013: Thoracotomy Indications

Contributor; Taylor Lynch, MD Educational Pearls: Thoracotomy  Thoracotomy is used in traumatic cardiac arrest to replace conventional CPR with direct access to the chest. Goals include identif...

20 Heinä 3min

Podcast 1012: Meth Sedation

Podcast 1012: Meth Sedation

Contributor: Aaron Lessen, MD Educational Pearls:    Agitated patients who are intoxicated with methamphetamine pose a unique challenge when selecting a sedative to counter their symptoms. Is there ...

13 Heinä 1min

Podcast 1011: Creepy Crawlies

Podcast 1011: Creepy Crawlies

Contributor: Meghan Hurley, MD Educational Pearls: What animal is the most lethal to humans?  Depending on how we define lethal, and animal, this answer is actually not straight forward.  Globall...

6 Heinä 7min

Podcast 1010: First Pass Intubation Success

Podcast 1010: First Pass Intubation Success

Contributor: Travis Barlock, MD Educational Pearls:   First-pass success is critical to limit complications from apnea, hypoxia, and airway trauma.  Complication rate for patients intubated on the f...

29 Kesä 3min

On the Streets- Zero to Rodeo

On the Streets- Zero to Rodeo

Dan Orbidan, OMS-II and Dr. Travis Barlock, MD discuss a real out of hospital call. This episode covers the implications of a pharmacologically abnormal patient presentation and the pre and post hospi...

22 Kesä 35min

Carepoint Journal Club- Neurology

Carepoint Journal Club- Neurology

Carepoint Journal Club is a quarterly series with discussions about a medical topic, brought to you by Carepoint's Emergency Physicians.

15 Kesä 36min

Podcast 1009: Prevention for Recurrent UTI

Podcast 1009: Prevention for Recurrent UTI

Contributor: Aaron Lessen, MD Educational Pearls:   UTIs are commonly seen in older women We often see them taking long-term prophylactic antibiotics because of common recurrence. Around 20-30% of...

8 Kesä 1min

Suosittua kategoriassa Tiede

tiedekulma-podcast
rss-mita-tulisi-tietaa
utelias-mieli
rss-hereilla
mielipaivakirja
radio-antro
rss-poliisin-mieli
hippokrateen-vastaanotolla
menologeja-tutkimusmatka-vaihdevuosiin
rss-astetta-parempi-elama-podcast
rss-ylistys-elaimille
docemilia
filocast-filosofian-perusteet
rss-duodecim-lehti
rss-laakaripodi
rss-tiedetta-vai-tarinaa
rss-murremyytin-murtajat
rss-totuuden-liepeilla