{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T10:12:33Z","timestamp":1773310353484,"version":"3.50.1"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"24","license":[{"start":{"date-parts":[[2023,6,16]],"date-time":"2023-06-16T00:00:00Z","timestamp":1686873600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,6,16]]},"abstract":"<jats:sec>\n            <jats:title>Rationale:<\/jats:title>\n            <jats:p>Vertebral artery dissection is an important cause of posterior circulation ischemic stroke in young and middle-aged people. We reported a young man with cerebellar infarction caused by dissection of the right vertebral artery.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Patient concerns:<\/jats:title>\n            <jats:p>A 34-year-old man presented with intermittent dizziness, blurred vision, nausea, and transient tinnitus 10 days before admission. All these symptoms were gradually aggravated and followed by vomiting and unfavorable movement of the right limbs. All these symptoms gradually aggravated.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Diagnosis:<\/jats:title>\n            <jats:p>Neurological examination on admission showed ataxia of the right limbs. Magnetic resonance imaging of the head revealed a right cerebellar infarction. High-resolution vessel wall magnetic resonance imaging showed dissection of the right vertebral artery. Whole-brain CT digital subtraction angiography revealed occlusion of the third segment (V3) of the right vertebral artery. This supports the diagnosis of vertebral artery dissection.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Interventions:<\/jats:title>\n            <jats:p>The patient received anticoagulant treatment with warfarin.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Outcomes:<\/jats:title>\n            <jats:p>After 2 weeks of treatment, the patient showed remarkably alleviated dizziness and unfavorable movement of the right limbs. After 3 months of treatment, the modified Rankin Scale score was 0. MRI of the head revealed that the original right cerebellar focus was softened, and there were no newly formed infarct foci.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Lessons:<\/jats:title>\n            <jats:p>When young and middle-aged patients without atherosclerotic risk factors encounter sudden dizziness, tinnitus, and unfavorable limb movement, vertebral artery dissection may be considered. Careful inquiry into the medical history may help make a final diagnosis. Further high-resolution vessel wall magnetic resonance imaging is an effective means to find arterial dissection. Early diagnosis and treatment for vertebral artery dissection has a favorable prognosis.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/md.0000000000034033","type":"journal-article","created":{"date-parts":[[2023,6,16]],"date-time":"2023-06-16T18:03:47Z","timestamp":1686938627000},"page":"e34033","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Cerebellar infarction caused by vertebral artery dissection: A case report"],"prefix":"10.1097","volume":"102","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4450-4203","authenticated-orcid":false,"given":"Jing","family":"Zhao","sequence":"first","affiliation":[{"name":"Department of Neurology, Aerospace Center Hospital, Beijing 100049, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bin","family":"Luo","sequence":"additional","affiliation":[{"name":"Department of Neurology, Aerospace Center Hospital, Beijing 100049, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xinlu","family":"Yao","sequence":"additional","affiliation":[{"name":"Department of Neurology, Aerospace Center Hospital, Beijing 100049, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoyun","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Neurology, Aerospace Center Hospital, Beijing 100049, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daquan","family":"He","sequence":"additional","affiliation":[{"name":"Department of Neurology, Aerospace Center Hospital, Beijing 100049, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lina","family":"Cai","sequence":"additional","affiliation":[{"name":"Department of Neurology, Aerospace Center Hospital, Beijing 100049, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yahui","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Neurology, Aerospace Center Hospital, Beijing 100049, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qin","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Neurology, Aerospace Center Hospital, Beijing 100049, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhirong","family":"Wan","sequence":"additional","affiliation":[{"name":"Department of Neurology, Aerospace Center Hospital, Beijing 100049, China."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-20250504","doi-asserted-by":"crossref","first-page":"1174","DOI":"10.1212\/WNL.0b013e31822f03fc","article-title":"Cervical Artery Dissection Ischemic Stroke Patients (CADISP) group. Differential features of carotid and vertebral artery dissections: the CADISP study.","volume":"77","author":"Debette","year":"2011","journal-title":"Neurology"},{"key":"R2-20250504","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1097\/NRL.0b013e31826754e1","article-title":"Clinical characteristics of symptomatic vertebral artery dissection: a systematic review.","volume":"18","author":"Gottesman","year":"2012","journal-title":"Neurologist"},{"key":"R3-20250504","doi-asserted-by":"crossref","first-page":"845","DOI":"10.1007\/s00234-013-1183-4","article-title":"MRI of intracranial vertebral artery dissection: evaluation of intramural haematoma using a black blood, variable-flip-angle 3D turbo spin-echo sequence.","volume":"55","author":"Takano","year":"2013","journal-title":"Neuroradiology"},{"key":"R4-20250504","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1177\/1971400918764129","article-title":"Spontaneous intracranial vertebral artery dissection with acute ischemic stroke: high-resolution magnetic resonance imaging findings.","volume":"31","author":"Yun","year":"2018","journal-title":"Neuroradiol J"},{"key":"R5-20250504","doi-asserted-by":"crossref","first-page":"1037","DOI":"10.3171\/2010.9.JNS10668","article-title":"Natural course of intracranial arterial dissections.","volume":"114","author":"Mizutani","year":"2011","journal-title":"J Neurosurg"},{"key":"R6-20250504","doi-asserted-by":"crossref","first-page":"820","DOI":"10.1111\/ene.12384","article-title":"Intracranial artery dissection.","volume":"21","author":"Sikkema","year":"2014","journal-title":"Eur J Neurol"},{"key":"R7-20250504","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1016\/S1474-4422(15)00009-5","article-title":"Epidemiology, pathophysiology, diagnosis, and management of intracranial artery dissection.","volume":"14","author":"Debette","year":"2015","journal-title":"Lancet Neurol"},{"issue":"Suppl A100","key":"R8-20250504","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1111\/ijs.12546","article-title":"Impact of initial symptom for accurate diagnosis of vertebral artery dissection.","volume":"10","author":"Fukuhara","year":"2015","journal-title":"Int J Stroke"},{"key":"R9-20250504","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1159\/000481442","article-title":"Improvement and aggravation of spontaneous unruptured vertebral artery dissection.","volume":"7","author":"Shibahara","year":"2017","journal-title":"Cerebrovasc Dis Extra"},{"key":"R10-20250504","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1016\/j.jns.2016.01.062","article-title":"Extracranial and intracranial vertebral artery dissections: a comparison of clinical findings.","volume":"362","author":"Kobayashi","year":"2016","journal-title":"J Neurol Sci"},{"key":"R11-20250504","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1159\/000437172","article-title":"Posterior circulation ischemic stroke caused by arterial dissection: characteristics and predictors of poor outcomes.","volume":"40","author":"Chang","year":"2015","journal-title":"Cerebrovasc Dis"},{"key":"R12-20250504","doi-asserted-by":"crossref","first-page":"612","DOI":"10.1111\/jon.12357","article-title":"Quantitative analysis using high-resolution 3T MRI in acute intracranial artery dissection.","volume":"26","author":"Jung","year":"2016","journal-title":"J Neuroimaging"},{"key":"R13-20250504","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1159\/000444315","article-title":"Multi-contrast high-resolution magnetic resonance findings of spontaneous and unruptured intracranial vertebral artery dissection: qualitative and quantitative analysis according to stages.","volume":"421-2","author":"Park","year":"2016","journal-title":"Cerebrovasc Dis"},{"key":"R14-20250504","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1136\/jnnp-2015-312020","article-title":"High-resolution intracranial vessel wall imaging: imaging beyond the lumen.","volume":"87","author":"Alexander","year":"2016","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"R15-20250504","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1007\/s00701-013-1989-1","article-title":"Imaging investigation of intracranial arterial dissecting aneurysms by using 3 T high-resolution MRI and DSA: from the interventional neuroradiologists\u2019 view.","volume":"156","author":"Wang","year":"2014","journal-title":"Acta Neurochir (Wien)"},{"key":"R16-20250504","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1016\/S1474-4422(15)70018-9","article-title":"Antiplatelet treatment compared with anticoagulation treatment for cervical artery dissection (CADISS): a randomised trial.","volume":"14","author":"Markus","year":"2015","journal-title":"Lancet Neurol"},{"key":"R17-20250504","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1177\/0003319712475154","article-title":"Current optimal assessment and management of carotid and vertebral spontaneous and traumatic dissection.","volume":"65","author":"Mohan","year":"2014","journal-title":"Angiology"},{"key":"R18-20250504","first-page":"566","article-title":"Cervicocephalic arterial dissection in Japan: analysis of 454 patients in the spontaneous cervicocephalic arterial dissections study I (SCADS-I).","volume":"39","author":"Minematsu","year":"2008","journal-title":"Stroke"}],"container-title":["Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/MD.0000000000034033","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,4]],"date-time":"2025-05-04T01:09:32Z","timestamp":1746320972000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/MD.0000000000034033"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,16]]},"references-count":18,"journal-issue":{"issue":"24","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.1097\/md.0000000000034033","relation":{},"ISSN":["0025-7974"],"issn-type":[{"value":"0025-7974","type":"print"}],"subject":[],"published":{"date-parts":[[2023,6,16]]}}}