Impact of initial symptom for accurate diagnosis of vertebral artery dissection

• DOI: 10.1111/ijs.12546
• Publication Date: 2015-06-29T12:24:44Z
• Authors: Kousuke Fukuhara; Toshiyasu Ogata; Shinji Ouma; Jun Tsugawa; Juntaro Matsumoto; Hiroshi Abe; Toshio Higashi; Tooru Inoue; Yoshio Tsuboi
• Keywords: Vertebral artery dissection

Background It has been recognized that spontaneous vertebral artery dissection without neurological symptoms is not rare and easily misdiagnosed. Clinical clue for diagnosis of includes initial such as headache, neck pain, or dizziness. Aim To assess the role dissection. Methods Between September 2007 January 2014, we retrospectively reviewed clinical records 83 patients with unilateral consciousness disturbance at admission. Based on diagnostic criteria Spontaneous Cervicocephalic Arterial Dissections Study, were divided into three groups: possible, probable, definite cases Initial collected time from medical record presence absence tinnitus vertigo, well area pain its characteristics. Results The numbers definite, possible 39, 26, 18, respectively. Out cases, bilateral headache was most commonly seen (in 60 cases), followed by 41 cases) vertigo 20 cases). Statistically, and/or more common in group compared other classification Study ( P = 0.040). Vertigo also associated stratification 0.012). Conclusions In our study, especially presentation, Cervico-cephalic criteria. Physicians should carefully obtain history a when suspected objective signs.