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Cervical (Carotid or Vertebral) Artery Dissection

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Symptoms and risk factors for a tear in the arteries of the neck

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Cervical artery dissection is a condition in which there is a tear in the wall of one of the four main arteries in the neck that supply blood to the brain. These arteries are:

  • Carotid arteries: These two arteries run along each side of the neck. Carotid artery dissection is one of the most common causes of stroke in people younger than 50.
  • Vertebral arteries: The two arteries are located in the back of the neck near the spine. Vertebral artery dissection is the less common of the two cervical artery dissections.

When a tear occurs, blood leaks through and spreads between the other layers of the artery’s wall. As blood collects, a clot forms and can block blood flow to the brain and can result in a stroke.

What are the symptoms of a carotid or vertebral artery dissection?

Symptoms of cervical artery dissection can develop over a period of hours, days or weeks and may include:

  • Blindness in the eye
  • Headache
  • Neck and face pain
  • Pulsatile tinnitus, a pulsing or whooshing sound in one of the ears
  • Trouble speaking
  • Vision problems such as double vision or a droopy eyelid
  • Weakness on one side of the body

What are the risk factors of carotid or vertebral artery dissection?

Trauma to the neck, such as from a car accident, fall or overextension during physical activity, can cause cervical artery dissection.

There are also certain factors that put you at increased risk, including:

  • Atherosclerosis, in which the arteries become narrow because of a buildup of plaque
  • Fibromuscular dysplasia, a condition that causes abnormal growth in the walls of arteries
  • Genetic connective tissue diseases such as Marfan syndrome and Ehlers-Danlos syndrome
  • High blood pressure
  • Smoking

Tests

Carotid Duplex Ultrasound

Carotid duplex ultrasound uses Doppler and traditional ultrasound to assess blood flow in the arteries that supply blood to your brain.

Computerized Tomography (CT) Scan

The cardiac computed tomography scan, or cardiac CT, uses X-rays to create three-dimensional images of your heart and blood vessels.

Magnetic Resonance Imaging (MRI)

Magnetic resonance imaging, better known as cardiac MRI, is a combination of radio waves, magnets and computer technology to create images of your heart and blood vessels.

Treatments

Preventing stroke is our primary goal when treating a cervical artery dissection. Treatment may vary depending on whether you have an underlying condition that contributed to the dissection. Options may include medication to prevent blood clots or minimally invasive techniques such as stenting to repair the tear.

Carotid Artery Stenting (CAS)

Carotid artery stenting is a minimally invasive procedure in which a small mesh tube is placed in a narrowed artery to support and keep it open.

Physicians

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21 Doctors & Specialists
Dr. Cameron M. Akbari, MD, MBA
Dr. Cameron M. Akbari, MD, MBA
Vascular Surgery
(283)
106 Irving Street Northwest Suite NW Washington, DC 20010
(202) 444-2255
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Dr. Raghuveer Vallabhaneni, MD
Dr. Raghuveer Vallabhaneni, MD
Vascular Surgery
(179)
3333 North Calvert Street Johnston Professional Building Baltimore, MD 21218
(410) 554-2950
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Dr. Joshua A. Dearing, MD
Dr. Joshua A. Dearing, MD
Vascular Surgery
(200)
301 Steeple Chase Drive Suite 107 Prince Frederick, MD 20678
301-877-7353
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Dr. Jason Andrew Chin, MD
Dr. Jason Andrew Chin, MD
Vascular Surgery
5601 Loch Raven Boulevard Smyth Bldg Ste 303 Baltimore, MD 21239
(443) 444-3431
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Dr. Edward Yiming Woo, MD
Dr. Edward Yiming Woo, MD
Vascular Surgery
(242)
106 Irving Street Northwest Suite NW Washington, DC 20010
(202) 877-0275
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Dr. Suzanne Siefert Kool, MD
Dr. Suzanne Siefert Kool, MD
Vascular Surgery
(185)
5601 Loch Raven Boulevard GSH SMYTH BLDG Baltimore, MD 21239
(410) 554-2950
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Dr. Geetha Jeyabalan, MD
Dr. Geetha Jeyabalan, MD
Vascular Surgery
(284)
2002 Medical Parkway Suite 520 Annapolis, MD 21401
(410) 571-8430
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Dr. Misaki Mikki Kiguchi, MD
Dr. Misaki Mikki Kiguchi, MD
Vascular Surgery
(374)
6862 Elm Street Mc Lean, VA 22101
202-444-2255
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Dr. Lucy B. Kupersmith, MD
Dr. Lucy B. Kupersmith, MD
Vascular Surgery
1630 Main Street Suite 208 Chester, MD 21619
(410) 571-8430
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Dr. Javairiah Fatima, MD
Dr. Javairiah Fatima, MD
Vascular Surgery
18101 Prince Philip Drive Olney, MD 20832
(301) 774-8962
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Dr. Stephen Fulvio Stanziale, MD
Dr. Stephen Fulvio Stanziale, MD
Vascular Surgery
(285)
9101 Franklin Square Drive Floor 2 Baltimore, MD 21237
(443)-777-1900
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Dr. John Harvey, MD
Dr. John Harvey, MD
Vascular Surgery
(275)
24035 Three Notch Road Hollywood, MD 20636
(301) 373-7900
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Dr. Kyle B. Reynolds, MD
Dr. Kyle B. Reynolds, MD
Vascular Surgery
3800 Reservoir Road Northwest OPERATING ROOM Washington, DC 20007
(202) 444-2255
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Dr. Kevin Arthur Brown, MD
Dr. Kevin Arthur Brown, MD
Vascular Surgery
2002 Medical Parkway Suite 520 Annapolis, MD 21401
410-571-8430
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Dr. Krystal C. Maloni, MD
Dr. Krystal C. Maloni, MD
Vascular Surgery
106 Irving Street Northwest Suite NW Washington, DC 20010
202-416-2000
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Dr. Arthur Flatau, III, MD
Dr. Arthur Flatau, III, MD
Vascular Surgery
(326)
301 Steeple Chase Drive Suite 107 Prince Frederick, MD 20678
(240) 434-4072
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Dr. Steven David Abramowitz, MD
Dr. Steven David Abramowitz, MD
Vascular Surgery
(245)
106 Irving Street Northwest Suite NW Washington, DC 20010
(202) 877-0275
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Dr. Jason Ryan Crowner, MD
Dr. Jason Ryan Crowner, MD
Vascular Surgery
5601 Loch Raven Boulevard GSH SMYTH BLDG Baltimore, MD 21239
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Dr. Margaret Walkup Arnold, MD
Dr. Margaret Walkup Arnold, MD
Vascular Surgery
9101 Franklin Square Drive Floor 2 Baltimore, MD 21237
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Dr. Ayesha Nzeribe Hatch, MD
Dr. Ayesha Nzeribe Hatch, MD
Vascular Surgery
106 Irving Street Northwest Suite NW Washington, DC 20010
(202) 877-3100
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Dr. Mark O'Brien Peeler, MD
Dr. Mark O'Brien Peeler, MD
Vascular Surgery
(481)
2002 Medical Parkway Suite 520 Annapolis, MD 21401
(410) 571-8430
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