CEREBRAL ARTERY DISSECTION (VERTEBRAL ARTERY DISSECTION / CAROTID ARTERY DISSECTION)

Question 1

MANAGEMENT

Answer 1

Antiplatelet

OR

Anticoagulant

INVESTIGATION
CTA

MRI / MRA preferred

Question 2

DOCUMENTATION

Answer 2

Neck Pain

Neck Trauma (not always, 40% of time)

Posterior Stroke Symptoms (dizziness, vertigo, coordination - VAD)

Anterior Stroke Symptoms (hemiplegia, slurred speech, ptosis, miosis - CAD)

Neurological symptoms can be delayed after headache (up to 12 hrs in VAD and 4 days in CAD)