Vascular Pathologies of the Neck
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Top Contributors - Alan Taylor, Admin, Kim Jackson, Roger Kerry, Tarina van der Stockt, Rachael Lowe, Simisola Ajeyalemi, Tony Lowe, Evan Thomas and WikiSysop
Definition/Description[edit | edit source]
Clinically Relevant Anatomy
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Epidemiology/Etiology[edit | edit source]
Mechanism of Injury / Pathological Process
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The following risk factors are associated with an increased risk of either internal carotid or vertebrobasilar arterial pathology and should be thoroughly assessed during the patient history[1][2]:
- Past history of trauma to cervical spine / cervical vessels
- History of migraine-type headache
- Hypertension
- Hypercholesterolemia / hyperlipidemia
- Cardiac disease, vascular disease, previous cerebrovascular accident or transient ischaemic attack
- Diabetes mellitus
- Blood clotting disorders / alterations in blood properties (e.g. hyperhomocysteinemia)
- Anticoagulant therapy
- Long-term use of steroids
- History of smoking
- Recent infection
- Immediately post partum
- Trivial head or neck trauma[3][4]
- Absence of a plausible mechanical explanation for the patient’s symptoms.
Clinical Presentation[edit | edit source]
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Examination[edit | edit source]
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Outcome Measures[edit | edit source]
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Management / Interventions
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Differential Diagnosis
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Key Evidence[edit | edit source]
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Resources
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Case Studies[edit | edit source]
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Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
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- ↑ Arnold M, Bousser MG (2005). Carotid and vertebral dissection. Practical Neurology 5:100-109.
- ↑ Kerry R, Taylor AJ, Mitchell JM, et al (2008). Cervical arterial dysfunction and manual therapy: A critical literature review to inform professional practice. Manual Therapy 13(4):278-288.
- ↑ Haneline M, Lewkovich G (2004). Identification of internal carotid artery dissection in chiropractic practice. J Can Chiropr Assoc 48(3):206-10.
- ↑ Thomas LC, Rivett DA, Attia JR, et al (2011). Risk factors and clinical features of craniocervical arterial dissection. Manual Therapy 16(4):351-356.
