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Association between morphologic subtypes of vertebral artery dissection and vertebral artery hypoplastic appearance

 Mina Park  ;  Na-Young Shin  ;  Joonsang Yoo  ;  Ji Hoe Heo  ;  Jai Ho Choi  ;  Dong Young Cho  ;  Seung-Koo Lee 
 EUROPEAN JOURNAL OF RADIOLOGY, Vol.116 : 84-89, 2019 
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Issue Date
Diagnostic imaging ;  Vertebral artery ;  Vertebral artery dissection
OBJECTIVES: The purpose of this study was to evaluate the associations between vertebral artery hypoplasia (VAH) and the morphologic types of spontaneous vertebral artery dissection (sVAD) and to assess the chronological changes of VAH after sVAD. METHODS AND MATERIALS: In this retrospective study, we included 208 patients with 216 sVADs which were diagnosed between January 2003 and June 2017 at two tertiary hospitals. Morphologic types of sVAD were classified into aneurysmal dilatation without stenosis, pearl-and-string appearance, and steno-occlusion without aneurysmal dilatation. Baseline clinical characteristics and sVAD types were compared according to the presence of VAH on initial imaging. For 143 sVAD patients with follow-up imaging available, chronological changes of VAH and their associations with sVAD types were also evaluated. RESULT: VAH was detected in 29 (13.9%) subjects: 18 (8.7%) with ipsilateral VAH and 11 (5.3%) with contralateral VAH to the sVAD site. Primary lesion shape was statistically associated with the presence of VAH (P = 0.001); steno-occlusion without dilatation was more frequently observed in the ipsilateral VAH group (44.4%) than the no-VAH group (20.9%) or contralateral VAH group (0%). Of a total 143 sVAD patients with follow-up imaging available, VAH-like diffuse VA narrowing was newly observed in seven patients and four patients who were initially classified into the VAH group showed their VAH-like appearances resolved. CONCLUSIONS: The presence of VAH may be associated with the morphologic subtype of sVAD and the VA diameter can dynamically change, making it possible for the VAH-like appearance to be induced after a sVAD event.
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1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
Yonsei Authors
Park, Mina(박미나) ORCID logo https://orcid.org/0000-0002-2005-7560
Lee, Seung Koo(이승구) ORCID logo https://orcid.org/0000-0001-5646-4072
Heo, Ji Hoe(허지회) ORCID logo https://orcid.org/0000-0001-9898-3321
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