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Acta Neurochirurgica
Published in: Acta Neurochirurgica 11/2022

11-08-2022 | MR Angiography | Case Report - Vascular Neurosurgery - Other

Morphological changes in vertebral artery dissections observed on 4D flow magnetic resonance images: case report

Authors: Masashi Abe, Kyongsong Kim, Minoru Ideguchi, Takahiko Mine, Akio Morita

Published in: Acta Neurochirurgica | Issue 11/2022

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Abstract

The morphology of vertebral artery (VA) dissections can change in the clinical course. A 58-year-old female with a 2-week headache was diagnosed with left VA dissection. Hemodynamic stress on the right VA detected on 4D flow MRI scans resulted in increased wall shear stress but the vessel was morphologically unchanged. Subsequent MRA revealed right VA dissection. Her bilateral dissections were treated conservatively and no neurological abnormality developed. Serial 4D flow MRI may be useful for observing morphological changes in VA dissections and help to clarify the mechanism(s) underlying VA dissections.
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Metadata
Title
Morphological changes in vertebral artery dissections observed on 4D flow magnetic resonance images: case report
Authors
Masashi Abe
Kyongsong Kim
Minoru Ideguchi
Takahiko Mine
Akio Morita
Publication date
11-08-2022
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 11/2022
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-022-05333-4

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