{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T15:12:18Z","timestamp":1789225938874,"version":"build-2803163510"},"reference-count":162,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2025,5,15]],"date-time":"2025-05-15T00:00:00Z","timestamp":1747267200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCDD"],"abstract":"<jats:p>The dissection of the V4 vertebral artery (VA) is the most prevalent form of intracranial dissection, which can manifest either as ischemia or as a subarachnoid hemorrhage (SAH). Patient outcomes are significantly affected by their initial presentation; ischemic symptoms often indicate that the dissection remains primarily subintimal or within the medial layer, though it can occasionally extend to the basilar artery. In contrast, patients with ruptured VA dissection (VAD) experience a considerably higher mortality rate, as the dissection can reach the adventitial layer, heightening the risk of recurrent hemorrhage. It can show fluctuating imaging findings, making an accurate diagnosis and timely treatment essential. Currently, there are no established diagnostic criteria for VAD, and its diagnosis largely depends on imaging. The presence of intramural hematoma, identified via three-dimensional, black-blood, T1-weighted imaging, has been recognized as the most reliable indicator for diagnosing VAD and is crucial for establishing a definitive diagnosis. DSA remains a fundamental diagnostic technique not only in hemorrhagic patients but also in ischemic patients. The medical treatment of ischemic patients has not yet been well defined, and evidence-based data are lacking. This review aims to summarize the main clinical, pathophysiological, and neuroradiological features of intracranial VAD presenting with ischemic stroke, providing to clinicians the available information in order to individualize the treatment.<\/jats:p>","DOI":"10.3390\/jcdd12050187","type":"journal-article","created":{"date-parts":[[2025,5,15]],"date-time":"2025-05-15T04:39:16Z","timestamp":1747283956000},"page":"187","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Spontaneous Intracranial Vertebral Artery Dissection: A Rare Cause of Ischemic Stroke"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7530-818X","authenticated-orcid":false,"given":"Marialuisa","family":"Zedde","sequence":"first","affiliation":[{"name":"Neurology Unit, Stroke Unit, Azienda Unit\u00e0 Sanitaria Locale-IRCCS di Reggio Emilia, Viale Risorgimento 80, 42123 Reggio Emilia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosario","family":"Pascarella","sequence":"additional","affiliation":[{"name":"Neuroradiology Unit, Ospedale Santa Maria della Misericordia, AULSS 5 Polesana, 45100 Rovigo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,5,15]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1195","DOI":"10.1161\/STROKEAHA.108.529883","article-title":"Analysis of 1008 consecutive patients aged 15 to 49 with first-ever ischemic stroke: The Helsinki young stroke registry","volume":"40","author":"Putaala","year":"2009","journal-title":"Stroke"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1212\/WNL.59.1.26","article-title":"Clinical outcome in 287 consecutive young adults (15 to 45 years) with ischemic stroke","volume":"59","author":"Leys","year":"2002","journal-title":"Neurology"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1417","DOI":"10.1161\/CIRCULATIONAHA.108.806307","article-title":"International Pediatric Stroke Study Group. Predictors of cerebral arteriopathy in children with arterial ischemic stroke: Results of the International Pediatric Stroke Study","volume":"119","author":"Bernard","year":"2009","journal-title":"Circulation"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1038\/ncpneuro0683","article-title":"Dissections of brain-supplying arteries","volume":"4","author":"Caplan","year":"2008","journal-title":"Nat. Clin. Pract. Neurol."},{"key":"ref_5","first-page":"CD000255","article-title":"Antithrombotic drugs for carotid artery dissection","volume":"4","author":"Lyrer","year":"2010","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"898","DOI":"10.1056\/NEJM200103223441206","article-title":"Spontaneous dissection of the carotid and vertebral arteries","volume":"344","author":"Schievink","year":"2001","journal-title":"N. Engl. J. Med."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"668","DOI":"10.1016\/S1474-4422(09)70084-5","article-title":"Cervical-artery dissections: Predisposing factors, diagnosis, and outcome","volume":"8","author":"Debette","year":"2009","journal-title":"Lancet Neurol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1111\/j.1747-4949.2011.00605.x","article-title":"Treatment issues in spontaneous cervicocephalic artery dissections","volume":"6","author":"Arnold","year":"2011","journal-title":"Int. J. Stroke"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1136\/jnnp.2008.151324","article-title":"Vascular risk factors and morphometric data in cervical artery dissection: A case-control study","volume":"80","author":"Arnold","year":"2009","journal-title":"J. Neurol. Neurosurg. Psychiatry"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1050","DOI":"10.1212\/01.wnl.0000237341.30854.6a","article-title":"Gender differences in spontaneous cervical artery dissection","volume":"67","author":"Arnold","year":"2006","journal-title":"Neurology"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1174","DOI":"10.1212\/WNL.0b013e31822f03fc","article-title":"Differential features of carotid and vertebral artery dissections: The CADISP study","volume":"77","author":"Debette","year":"2011","journal-title":"Neurology"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1537","DOI":"10.1161\/CIRCULATIONAHA.110.000125","article-title":"Association of vascular risk factors with cervical artery dissection and ischemic stroke in young adults","volume":"123","author":"Debette","year":"2011","journal-title":"Circulation"},{"key":"ref_13","first-page":"407","article-title":"Dissecting intracranial aneurysms","volume":"8","author":"Yonas","year":"1977","journal-title":"Surg. Neurol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"773","DOI":"10.1001\/archneur.1982.00510240035009","article-title":"Intracranial hemorrhage produced by spontaneous dissecting intracranial aneurysm","volume":"39","author":"Adams","year":"1982","journal-title":"Arch. Neurol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1161\/01.STR.28.2.370","article-title":"Unruptured intracranial vertebral artery dissection. Clinical course and serial radiographic imagings","volume":"28","author":"Yoshimoto","year":"1997","journal-title":"Stroke"},{"key":"ref_16","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."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"879","DOI":"10.1111\/ijs.12154","article-title":"Incidence and outcome of cerebrovascular events related to cervical artery dissection: The Dijon Stroke Registry","volume":"9","author":"Bejot","year":"2014","journal-title":"Int. J. Stroke"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1809","DOI":"10.1212\/01.wnl.0000244486.30455.71","article-title":"Incidence and outcome of cervical artery dissection: A population-based study","volume":"67","author":"Lee","year":"2006","journal-title":"Neurology"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"2499","DOI":"10.1161\/01.STR.0000240493.88473.39","article-title":"Vertebral artery dissection: Presenting findings and predictors of outcome","volume":"37","author":"Arnold","year":"2006","journal-title":"Stroke"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"78","DOI":"10.5469\/neuroint.2011.6.2.78","article-title":"Cerebral artery dissection: Spectrum of clinical presentations related to angiographic findings","volume":"6","author":"Kwak","year":"2011","journal-title":"Neurointervention"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1735","DOI":"10.1212\/WNL.0b013e31821a7d94","article-title":"Outcomes and prognostic factors of intracranial unruptured vertebrobasilar artery dissection","volume":"76","author":"Kim","year":"2011","journal-title":"Neurology"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1007\/978-3-211-99373-6_7","article-title":"A study of vertebrobasilar artery dissection with subarachnoid hemorrhage","volume":"107","author":"Nakajima","year":"2010","journal-title":"Acta Neurochir. Suppl."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"2425","DOI":"10.1161\/STROKEAHA.111.617381","article-title":"Incidence and risk factors of recurrence after endovascular treatment of intracranial vertebrobasilar dissecting aneurysms","volume":"42","author":"Kim","year":"2011","journal-title":"Stroke"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"233","DOI":"10.3171\/2010.6.PEDS09290","article-title":"Symptomatic spontaneous vertebrobasilar dissections in children: Review of 29 consecutive cases","volume":"6","author":"Songsaeng","year":"2010","journal-title":"J. Neurosurg. Pediatr."},{"key":"ref_25","first-page":"43","article-title":"Orientation of nuclei as indicators of smooth muscle cell alignment in the cerebral artery","volume":"16","author":"Walmsley","year":"1979","journal-title":"Blood Vessel."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1016\/0163-7258(94)00071-A","article-title":"Morphology of cerebral arteries","volume":"66","author":"Lee","year":"1995","journal-title":"Pharmacol. Ther."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1001\/archneur.1972.00490170024004","article-title":"The vertebral artery. Extracranial and intracranial structure","volume":"27","author":"Wilkinson","year":"1972","journal-title":"Arch. Neurol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"179","DOI":"10.2176\/nmc.50.179","article-title":"Distribution of internal elastic lamina and external elastic lamina in the internal carotid artery: Possible relationship with atherosclerosis","volume":"50","author":"Masuoka","year":"2010","journal-title":"Neurol. Med. Chir."},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Chen, M., and Caplan, L. (2005). Intracranial dissections. Handbook on Cerebral Artery Dissection, S.Karger AG.","DOI":"10.1159\/000088166"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1177\/159101991001600206","article-title":"The many faces of intracranial arterial dissections","volume":"16","author":"Krings","year":"2010","journal-title":"Interv. Neuroradiol."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"183","DOI":"10.3171\/jns.1993.79.2.0183","article-title":"Endovascular treatment of vertebral artery dissections and pseudoaneurysms","volume":"79","author":"Halbach","year":"1993","journal-title":"J. Neurosurg."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"874","DOI":"10.3171\/jns.1991.75.6.0874","article-title":"A clinicopathological study of dissecting aneurysms of the intracranial vertebral artery","volume":"75","author":"Sasaki","year":"1991","journal-title":"J. Neurosurg."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"853","DOI":"10.3171\/jns.1999.90.5.0853","article-title":"Endovascular treatment of ruptured dissecting aneurysms aimed at occlusion of the dissected site by using Guglielmi detachable coils","volume":"90","author":"Yamaura","year":"1999","journal-title":"J. Neurosurg."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"139","DOI":"10.3171\/jns.1999.91.1.0139","article-title":"Fusiform vertebral artery aneurysms as a cause of dissecting aneurysms. Report of two autopsy cases and a review of the literature","volume":"91","author":"Yasui","year":"1999","journal-title":"J. Neurosurg."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"325","DOI":"10.3171\/jns.1984.60.2.0325","article-title":"Subarachnoid hemorrhage from intracranial dissecting aneurysm","volume":"60","author":"Friedman","year":"1984","journal-title":"J. Neurosurg."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"905","DOI":"10.1227\/00006123-199505000-00003","article-title":"Recurrent subarachnoid hemorrhage from untreated ruptured vertebrobasilar dissecting aneurysms","volume":"36","author":"Mizutani","year":"1995","journal-title":"Neurosurgery"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"914","DOI":"10.1227\/00006123-199505000-00004","article-title":"Proximal balloon occlusion for dissecting vertebral aneurysms accompanied by subarachnoid hemorrhage","volume":"36","author":"Tsukahara","year":"1995","journal-title":"Neurosurgery"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"183","DOI":"10.3171\/jns.1990.72.2.0183","article-title":"Dissecting aneurysms of the intracranial vertebral artery","volume":"72","author":"Yamaura","year":"1990","journal-title":"J. Neurosurg."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"598","DOI":"10.1016\/S0090-3019(97)00022-0","article-title":"Classification and treatment of vertebral dissecting aneurysm","volume":"48","author":"Sano","year":"1997","journal-title":"Surg. Neurol."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"S20","DOI":"10.1016\/j.surneu.2008.10.002","article-title":"Cervicocranial arterial dissection: Experience of 73 patients in a single center","volume":"72","author":"Huang","year":"2009","journal-title":"Surg. Neurol."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"25","DOI":"10.3171\/jns.2004.101.1.0025","article-title":"Intracranial vertebral artery dissection with subarachnoid hemorrhage: Clinical characteristics and outcomes in conservatively treated patients","volume":"101","author":"Yamada","year":"2004","journal-title":"J. Neurosurg."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1177\/159101991201800414","article-title":"Intracranial vertebral artery dissections: Evolving perspectives","volume":"18","author":"Ali","year":"2012","journal-title":"Interv. Neuroradiol."},{"key":"ref_43","first-page":"575","article-title":"Cerebral ischemic accidents in young subjects. A prospective study of 296 patients aged 16 to 45 years","volume":"155","author":"Ducrocq","year":"1999","journal-title":"Rev. Neurol."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"802","DOI":"10.1161\/STROKEAHA.109.570655","article-title":"Differences in demographic characteristics and risk factors in patients with spontaneous vertebral artery dissections with and without ischemic events","volume":"41","author":"Arnold","year":"2010","journal-title":"Stroke"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"1083","DOI":"10.1161\/01.STR.30.5.1083","article-title":"Clinical and neuroradiological features of intracranial vertebrobasilar artery dissection","volume":"30","author":"Hosoya","year":"1999","journal-title":"Stroke"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"101526","DOI":"10.1016\/j.neuchi.2023.101526","article-title":"Spontaneous intracranial vertebral artery dissections presenting with subarachnoid hemorrhage","volume":"70","author":"Chaalala","year":"2024","journal-title":"Neurochirurgie"},{"key":"ref_47","doi-asserted-by":"crossref","unstructured":"Tudose, R.C., Rusu, M.C., and Hostiuc, S. (2023). The vertebral artery: A systematic review and a meta-analysis of the current literature. Diagnostics, 13.","DOI":"10.3390\/diagnostics13122036"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"1","DOI":"10.5603\/FM.a2020.0022","article-title":"Vertebral artery variations revised: Origin, course, branches and embryonic development","volume":"80","author":"Magklara","year":"2021","journal-title":"Folia Morphol."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1007\/s12565-019-00482-6","article-title":"Incidence of vertebral artery of aortic arch origin, its level of entry into transverse foramen, length, diameter and clinical significance","volume":"94","author":"Woraputtaporn","year":"2019","journal-title":"Anat. Sci. Int."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"8","DOI":"10.2176\/nmc.41.8","article-title":"High incidence of arterial dissection associated with left vertebral artery of aortic origin","volume":"41","author":"Komiyama","year":"2001","journal-title":"Neurol. Med. Chir."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1097\/00029679-199416050-00001","article-title":"Nontraumatic Intracranial arterial dissection: Natural history, diagnosis, and treatment","volume":"16","author":"Yamaura","year":"1994","journal-title":"Contemp. Neurosurg."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1016\/j.ultrasmedbio.2004.03.004","article-title":"Evaluation of vertebral artery hypoplasia and asymmetry by color-coded duplex ultrasonography","volume":"30","author":"Jeng","year":"2004","journal-title":"Ultrasound Med. Biol."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"101519","DOI":"10.1016\/j.neuchi.2023.101519","article-title":"Hemodynamic factors of spontaneous vertebral artery dissecting aneurysms assessed with numerical and deep learning algorithms: Role of blood pressure and asymmetry","volume":"70","author":"Martin","year":"2024","journal-title":"Neurochirurgie"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"379","DOI":"10.5603\/FM.a2017.0021","article-title":"Intracranial region of the vertebral artery: Morphometric study in the context of clinical usefulness","volume":"76","author":"Szarmach","year":"2017","journal-title":"Folia Morphol."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"104636","DOI":"10.1016\/j.jstrokecerebrovasdis.2020.104636","article-title":"Anatomical variations of vertebrobasilar artery are closely related to the occurrence of vertebral artery dissection\u2014An MR angiography study","volume":"29","author":"Hori","year":"2020","journal-title":"J. Stroke Cerebrovasc. Dis."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"818","DOI":"10.1212\/WNL.0000000000001284","article-title":"Vertebral artery hypoplasia and vertebral artery dissection: A hospital-based cohort study","volume":"84","author":"Zhou","year":"2015","journal-title":"Neurology"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"10","DOI":"10.7461\/jcen.2021.E2021.06.012","article-title":"Angiographic characteristics of ruptured versus unruptured vertebral artery dissecting aneurysm","volume":"24","author":"Park","year":"2022","journal-title":"J. Cerebrovasc. Endovasc. Neurosurg."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"106224","DOI":"10.1016\/j.jstrokecerebrovasdis.2021.106224","article-title":"Posterior communicating artery hypoplasia: A risk factor for vertebral artery dissection causing subarachnoid hemorrhage","volume":"31","author":"Ariyada","year":"2022","journal-title":"J. Stroke Cerebrovasc. Dis."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"e660","DOI":"10.1161\/STROKEAHA.120.034096","article-title":"Deep cerebral perforators: Anatomical distribution and clinical symptoms: An overview","volume":"52","author":"Vogels","year":"2021","journal-title":"Stroke"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1038\/sj.sc.3102060","article-title":"The anterior spinal artery origin: A microanatomical study","volume":"46","author":"Er","year":"2008","journal-title":"Spinal Cord."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"1137","DOI":"10.1002\/ca.23213","article-title":"Variable anatomic configuration of the posterior spinal arteries in humans","volume":"31","author":"Rojas","year":"2018","journal-title":"Clin. Anat."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"228","DOI":"10.3171\/2008.12.SPINE08289","article-title":"Microsurgical anatomy of the posterior spinal artery via a far-lateral transcondylar approach","volume":"10","author":"Bauer","year":"2009","journal-title":"J. Neurosurg. Spine"},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"e1098","DOI":"10.1016\/j.wneu.2020.12.161","article-title":"Anatomical study of the posterior spinal artery branches to the medulla oblongata","volume":"149","author":"Wang","year":"2021","journal-title":"World Neurosurg."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1016\/S0090-3019(03)00577-9","article-title":"Microsurgical anatomy of the perforating branches of the vertebral artery","volume":"61","author":"Gibo","year":"2004","journal-title":"Surg. Neurol."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1177\/159101990801400107","article-title":"Vascular microanatomy of the pontomedullary junction, posterior inferior cerebellar arteries, and the lateral spinal arteries","volume":"14","author":"Mercier","year":"2008","journal-title":"Interv. Neuroradiol."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"221","DOI":"10.3171\/2013.2.JNS121586","article-title":"Pathomorphometry of ruptured intracranial vertebral arterial dissection: Adventitial rupture, dilated lesion, intimal tear, and medial defect","volume":"119","author":"Ro","year":"2013","journal-title":"J. Neurosurg."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"629","DOI":"10.2176\/nmc.44.629","article-title":"Histological study of the normal vertebral artery\u2014Etiology of dissecting aneurysms","volume":"44","author":"Sato","year":"2004","journal-title":"Neurol. Med. Chir."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1097\/00006123-199908000-00010","article-title":"Proposed classification of nonatherosclerotic cerebral fusiform and dissecting aneurysms","volume":"45","author":"Mizutani","year":"1999","journal-title":"Neurosurgery"},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1136\/jnnp.63.1.46","article-title":"Extracranial and intracranial vertebrobasilar dissections: Diagnosis and prognosis","volume":"63","author":"Dubas","year":"1997","journal-title":"J. Neurol. Neurosurg. Psychiatry"},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"427","DOI":"10.3171\/jns.2001.94.3.0427","article-title":"Combined endovascular treatment of dissecting vertebral artery aneurysms by using stents and coils","volume":"94","author":"Lylyk","year":"2001","journal-title":"J. Neurosurg."},{"key":"ref_71","first-page":"1814","article-title":"Stent-within-a-stent technique for the treatment of dissecting vertebral artery aneurysms","volume":"24","author":"Mehta","year":"2003","journal-title":"Am. J. Neuroradiol."},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1097\/00006123-199808000-00126","article-title":"Stents for intracranial aneurysms: The beginning of a new endovascular era?","volume":"43","author":"Wakhloo","year":"1998","journal-title":"Neurosurgery"},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1007\/s10143-008-0124-x","article-title":"Dissecting aneurysms of the vertebrobasilar system. A comprehensive review on natural history and treatment options","volume":"31","author":"Zenteno","year":"2008","journal-title":"Neurosurg. Rev."},{"key":"ref_74","first-page":"E3","article-title":"Endovascular management of intracranial vertebral artery dissecting aneurysms","volume":"18","author":"Albuquerque","year":"2005","journal-title":"Neurosurg. Focus"},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"889","DOI":"10.1161\/01.STR.25.4.889","article-title":"Neurovascular manifestations of heritable connective tissue disorders. A review","volume":"25","author":"Schievink","year":"1994","journal-title":"Stroke"},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"2605","DOI":"10.1161\/STROKEAHA.107.489666","article-title":"Antiplatelets verus anticoagulation in cervical artery dissection","volume":"38","author":"Engelter","year":"2007","journal-title":"Stroke"},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1227\/00006123-199107000-00015","article-title":"Cervicocranial arterial dissection","volume":"29","author":"Anson","year":"1991","journal-title":"Neurosurgery"},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1186\/1750-1172-2-32","article-title":"Ehlers-Danlos syndrome type IV","volume":"2","author":"Germain","year":"2007","journal-title":"Orphanet. J. Rare Dis."},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"1678","DOI":"10.1161\/01.STR.24.11.1678","article-title":"Internal carotid artery dissection in a community. Rochester, Minnesota, 1987\u20131992","volume":"24","author":"Schievink","year":"1993","journal-title":"Stroke"},{"key":"ref_80","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1097\/WCO.0000000000000056","article-title":"Pathophysiology and risk factors of cervical artery dissection: What have we learnt from large hospital-based cohorts?","volume":"27","author":"Debette","year":"2014","journal-title":"Curr. Opin. Neurol."},{"key":"ref_81","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1177\/159101991101700315","article-title":"Osteogenesis imperfecta, multiple intra-abdominal arterial dissections and a ruptured dissecting-type intracranial aneurysm","volume":"17","author":"Matouk","year":"2011","journal-title":"Interv. Neuroradiol."},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1111\/j.1747-4949.2010.00445.x","article-title":"Fibromuscular dysplasia of cervical and intracranial arteries","volume":"5","author":"Oppenheim","year":"2010","journal-title":"Int. J. Stroke"},{"key":"ref_83","doi-asserted-by":"crossref","first-page":"e1511","DOI":"10.1016\/j.wneu.2018.11.092","article-title":"Clinical outcomes of atlantoaxial dislocation combined with High-riding vertebral artery using C2 translaminar screws","volume":"122","author":"Wang","year":"2019","journal-title":"World Neurosurg."},{"key":"ref_84","doi-asserted-by":"crossref","first-page":"e264","DOI":"10.1016\/j.wneu.2021.10.067","article-title":"Pregnancy as a subgroup in the pathophysiologic classification of spinal aneurysms","volume":"157","author":"Bojanowski","year":"2022","journal-title":"World Neurosurg."},{"key":"ref_85","doi-asserted-by":"crossref","first-page":"792","DOI":"10.1093\/neuros\/nyab296","article-title":"Clinical characteristics, course, and outcomes of vertebral artery dissections in the postpartum period","volume":"89","author":"Azad","year":"2021","journal-title":"Neurosurgery"},{"key":"ref_86","doi-asserted-by":"crossref","first-page":"1738","DOI":"10.1001\/archneur.63.12.1738","article-title":"Comparison of spontaneous intracranial vertebral artery dissection with large artery disease","volume":"63","author":"Lee","year":"2006","journal-title":"Arch. Neurol."},{"key":"ref_87","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1177\/197140091102400506","article-title":"Treatment of spontaneous intradural vertebral artery dissections","volume":"24","author":"Nakazawa","year":"2011","journal-title":"Neuroradiol. J."},{"key":"ref_88","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1055\/s-0028-1114296","article-title":"Spontaneous intradural vertebral artery dissection: A single-center experience and review of the literature","volume":"19","author":"Kocaeli","year":"2009","journal-title":"Skull Base"},{"key":"ref_89","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1097\/NRL.0b013e3182675511","article-title":"Imaging characteristics of symptomatic vertebral artery dissection: A systematic review","volume":"18","author":"Gottesman","year":"2012","journal-title":"Neurologist"},{"key":"ref_90","doi-asserted-by":"crossref","first-page":"1628","DOI":"10.1161\/01.STR.21.11.1628","article-title":"Rebleeding from intracranial dissecting aneurysm in the vertebral artery","volume":"21","author":"Aoki","year":"1990","journal-title":"Stroke"},{"key":"ref_91","first-page":"8180926","article-title":"Bilateral vertebral artery dissection: A case report with literature review","volume":"25","author":"Hafeez","year":"2020","journal-title":"Case Rep. Med."},{"key":"ref_92","doi-asserted-by":"crossref","unstructured":"Meng, Y.Y., Dou, L., Wang, C.M., Kong, D.Z., Wei, Y., Wu, L.S., Yang, Y., and Zhou, H.W. (2019). Spinal cord infarction presenting as Brown-S\u00e9quard syndrome from spontaneous vertebral artery dissection: A case report and literature review. BMC Neurol., 19.","DOI":"10.1186\/s12883-019-1559-0"},{"key":"ref_93","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1016\/j.neurad.2020.03.007","article-title":"Intracranial dissections: A pictorial review of pathophysiology, imaging features, and natural history","volume":"48","author":"Bond","year":"2021","journal-title":"J. Neuroradiol."},{"key":"ref_94","doi-asserted-by":"crossref","first-page":"880","DOI":"10.1212\/WNL.38.6.880","article-title":"Spontaneous dissections of the vertebral arteries","volume":"38","author":"Mokri","year":"1988","journal-title":"Neurology"},{"key":"ref_95","doi-asserted-by":"crossref","first-page":"1038","DOI":"10.3171\/jns.1984.61.6.1038","article-title":"Dissecting aneurysm of the vertebral artery. Report of seven cases and angiographic findings","volume":"61","author":"Shimoji","year":"1984","journal-title":"J. Neurosurg."},{"key":"ref_96","first-page":"402","article-title":"Vertebral artery dissection. Clinical aspects, non-invasive diagnosis, therapy-observations in 14 patients","volume":"65","author":"Sturzenegger","year":"1994","journal-title":"Der Nervenarzt"},{"key":"ref_97","doi-asserted-by":"crossref","first-page":"1151","DOI":"10.1016\/j.diii.2014.10.003","article-title":"Imaging of cervical artery dissection","volume":"95","author":"Machet","year":"2014","journal-title":"Diagn. Interv. Imaging"},{"key":"ref_98","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1007\/978-3-7091-0661-7_11","article-title":"The new MRI modalities \u201cBPAS and VISTA\u201d for the diagnosis of VAD","volume":"112","author":"Takemoto","year":"2011","journal-title":"Acta Neurochir. Suppl."},{"key":"ref_99","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1007\/BF01809262","article-title":"Repeat angiography and magnetic resonance imaging (MRI) of dissecting aneurysms of the intracranial vertebral artery. Report of four cases","volume":"121","author":"Fujiwara","year":"1993","journal-title":"Acta Neurochir."},{"key":"ref_100","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1148\/radiol.12112331","article-title":"Spontaneous symptomatic intracranial vertebrobasilar dissection: Initial and follow-up imaging findings","volume":"264","author":"Ahn","year":"2012","journal-title":"Radiology"},{"key":"ref_101","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1007\/978-3-211-99373-6_5","article-title":"Overview of spontaneous cervicocephalic arterial dissection in Japan","volume":"107","author":"Tsukahara","year":"2010","journal-title":"Acta Neurochir. Suppl."},{"key":"ref_102","first-page":"241","article-title":"Prevalence of vertebral artery dissection in Wallenberg syndrome: Neuroradiological analysis of 93 patients in the Tohoku District, Japan","volume":"14","author":"Hosoya","year":"1996","journal-title":"Radiat. Med."},{"key":"ref_103","first-page":"1161","article-title":"Intracranial vertebral artery dissection in Wallenberg syndrome","volume":"15","author":"Hosoya","year":"1994","journal-title":"Am. J. Neuroradiol."},{"key":"ref_104","doi-asserted-by":"crossref","first-page":"524","DOI":"10.2176\/nmc.ra.2015-0294","article-title":"Diagnosis of Intracranial Artery Dissection","volume":"56","author":"Kanoto","year":"2016","journal-title":"Neurol. Med. Chir."},{"key":"ref_105","doi-asserted-by":"crossref","first-page":"983","DOI":"10.1007\/s00330-006-0272-8","article-title":"Dissection of the V4 segment of the vertebral artery: Clinicoradiologic manifestations and endovascular treatment","volume":"17","author":"Yoon","year":"2007","journal-title":"Eur. Radiol."},{"key":"ref_106","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/0090-3019(95)00485-8","article-title":"Spontaneous dissecting aneurysm of the anterior cerebral artery: Report of two cases","volume":"46","author":"Koyama","year":"1996","journal-title":"Surg. Neurol."},{"key":"ref_107","first-page":"1699","article-title":"Megadolichobasilar artery with arterial dissection; a case report","volume":"52","author":"Kanoto","year":"2007","journal-title":"Jpn. J. Clin. Radiol."},{"key":"ref_108","doi-asserted-by":"crossref","first-page":"1104","DOI":"10.3171\/JNS\/2008\/108\/6\/1104","article-title":"Use of the sole stenting technique for the management of aneurysms in the posterior circulation in a prospective series of 20 patients","volume":"108","author":"Zenteno","year":"2008","journal-title":"J. Neurosurg."},{"key":"ref_109","first-page":"952","article-title":"Vertebral artery dissection diagnosed with CT","volume":"16","author":"Soper","year":"1995","journal-title":"AJNR Am. J. Neuroradiol."},{"key":"ref_110","doi-asserted-by":"crossref","first-page":"1753","DOI":"10.3174\/ajnr.A1189","article-title":"Comparison of multidetector CT angiography and MR imaging of cervical artery dissection","volume":"29","author":"Vertinsky","year":"2008","journal-title":"Am. J. Neuroradiol."},{"key":"ref_111","doi-asserted-by":"crossref","first-page":"787","DOI":"10.3174\/ajnr.A1455","article-title":"Vertebral artery dissection with a normal-appearing lumen at multisection CT angiography: The importance of identifying wall hematoma","volume":"30","author":"Lum","year":"2009","journal-title":"AJNR Am. J. Neuroradiol."},{"key":"ref_112","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1097\/00004728-199503000-00019","article-title":"Exercise-related dissection of craniocervical arteries: CT, M R, and angiographic findings","volume":"19","author":"Provenzale","year":"1995","journal-title":"J. Comput. Assist. Tomogr."},{"key":"ref_113","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1016\/S0002-9610(99)00157-9","article-title":"Diagnosis, treatment, and outcome of blunt carotid arterial injuries","volume":"178","author":"Kraus","year":"1999","journal-title":"Am. J. Surg."},{"key":"ref_114","doi-asserted-by":"crossref","first-page":"1167","DOI":"10.2214\/AJR.08.1688","article-title":"Comparison of test performance characteristics of M RI, M R angiography, and CT angiography in the diagnosis of carotid and vertebral artery dissection: A review of the medical literature","volume":"193","author":"Provenzale","year":"2009","journal-title":"Am. J. Roentgenol."},{"key":"ref_115","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1007\/s10140-008-0770-x","article-title":"MRI and MRA for evaluation of dissection of craniocerebral arteries: Lessons from the medical literature","volume":"16","author":"Provenzale","year":"2009","journal-title":"Emerg. Radiol."},{"key":"ref_116","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1159\/000354811","article-title":"Intramural hematoma detection by susceptibility-weighted imaging in intracranial vertebral artery dissection","volume":"36","author":"Kim","year":"2013","journal-title":"Cerebrovasc. Dis."},{"key":"ref_117","doi-asserted-by":"crossref","first-page":"108791","DOI":"10.1016\/j.ejrad.2019.108791","article-title":"Basi-parallel anatomic scanning (BPAS-MRI) compared with high-resolution MRI for the diagnosis of vertebrobasilar artery abnormalities","volume":"123","author":"Liu","year":"2020","journal-title":"Eur. J. Radiol."},{"key":"ref_118","first-page":"2508","article-title":"Surface appearance of the vertebrobasilar artery revealed on basiparallel anatomic scanning (BPAS)-MR imaging: Its role for brain MR examination","volume":"26","author":"Nagahata","year":"2005","journal-title":"Am. J. Neuroradiol."},{"key":"ref_119","doi-asserted-by":"crossref","first-page":"1362","DOI":"10.1016\/j.acra.2012.06.012","article-title":"Basi-parallel anatomical scanning (BPAS)-MRI can improve discrimination of vertebral artery dissection from atherosclerosis and hypoplasia","volume":"19","author":"Fatima","year":"2012","journal-title":"Acad. Radiol."},{"key":"ref_120","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1161\/CIRCULATIONAHA.113.006919","article-title":"Imaging intracranial vessel wall pathology with magnetic resonance imaging: Current prospects and future directions","volume":"130","author":"Dieleman","year":"2014","journal-title":"Circulation"},{"key":"ref_121","doi-asserted-by":"crossref","first-page":"238","DOI":"10.5853\/jos.2015.17.3.238","article-title":"Vessel wall imaging of the intracranial and cervical carotid arteries","volume":"17","author":"Choi","year":"2015","journal-title":"J. Stroke"},{"key":"ref_122","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1007\/s00234-012-1112-y","article-title":"Relationship between vertebral artery hypoplasia and posterior circulation stroke in Chinese patients","volume":"55","author":"Hu","year":"2013","journal-title":"Neuroradiology"},{"key":"ref_123","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."},{"key":"ref_124","doi-asserted-by":"crossref","first-page":"824","DOI":"10.1002\/jmri.24430","article-title":"Comparison between two types of improved motion-sensitized driven-equilibrium (iMSDE) for intracranial black-blood imaging at 3.0 Tesla","volume":"40","author":"Obara","year":"2014","journal-title":"J. Magn. Reson. Imaging"},{"key":"ref_125","doi-asserted-by":"crossref","first-page":"664","DOI":"10.3174\/ajnr.A2343","article-title":"3D turbo spin-echo sequence with motion-sensitized driven-equilibrium preparation for detection of brain metastases on 3T MR imaging","volume":"32","author":"Nagao","year":"2011","journal-title":"Am. J. Neuroradiol."},{"key":"ref_126","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1080\/02841850410004184","article-title":"Cerebral CT and MRI findings in cervicocephalic artery dissection","volume":"45","author":"Pelkonen","year":"2004","journal-title":"Acta Radiol."},{"key":"ref_127","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1186\/s12968-021-00766-9","article-title":"Identification of high risk clinical and imaging features for intracranial artery dissection using high-resolution cardiovascular magnetic resonance","volume":"23","author":"Shi","year":"2021","journal-title":"J. Cardiovasc. Magn. Reson."},{"key":"ref_128","doi-asserted-by":"crossref","first-page":"948","DOI":"10.1161\/STROKEAHA.114.006909","article-title":"Natural history and management of basilar trunk artery aneurysms","volume":"46","author":"Saliou","year":"2015","journal-title":"Stroke"},{"key":"ref_129","doi-asserted-by":"crossref","first-page":"1563","DOI":"10.1161\/STROKEAHA.110.599548","article-title":"Vessel wall inflammation in spontaneous cervical artery dissection: A prospective, observational positron emission tomography, computed tomography, and magnetic resonance imaging study","volume":"42","author":"Pfefferkorn","year":"2011","journal-title":"Stroke"},{"key":"ref_130","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1016\/j.neurad.2012.02.005","article-title":"Evaluation of luminal and vessel wall abnormalities in subacute and other stages of intracranial vertebrobasilar artery dissections using the volume isotropic turbo-spin-echo acquisition (VISTA) sequence: A preliminary study","volume":"40","author":"Sakurai","year":"2013","journal-title":"J. Neuroradiol."},{"key":"ref_131","doi-asserted-by":"crossref","first-page":"624","DOI":"10.1055\/s-0043-104632","article-title":"Clinical significance of intraluminal contrast enhancement in patients with spontaneous cervical artery dissection: A black-blood MRI study","volume":"189","author":"Coppenrath","year":"2017","journal-title":"RoFo"},{"key":"ref_132","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":"42","author":"Park","year":"2016","journal-title":"Cerebrovasc. Dis."},{"key":"ref_133","doi-asserted-by":"crossref","first-page":"1691","DOI":"10.1016\/j.jstrokecerebrovasdis.2019.02.019","article-title":"Clinical and radiological characteristics of intracranial artery dissection using recently proposed diagnostic criteria","volume":"28","author":"Nakamura","year":"2019","journal-title":"J. Stroke Cerebrovasc. Dis."},{"key":"ref_134","doi-asserted-by":"crossref","unstructured":"Bendok, B.R., Batjer, H.H., and Naidech, W.M.T. (2011). Approaches to extracranial and intracranial dissections. Hemorrhagic and Ischemic Stroke: Surgical, Interventional, Imaging, and Medical Approaches, Thieme.","DOI":"10.1055\/b-0034-80460"},{"key":"ref_135","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1272\/jnms.78.367","article-title":"Diagnosis of vertebral artery dissection with basiparallel anatomical scanning magnetic resonance imaging","volume":"78","author":"Katsuno","year":"2011","journal-title":"J. Nippon Med. Sch."},{"key":"ref_136","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1161\/01.STR.25.3.571","article-title":"Magnetic resonance imaging study of intracranial vertebrobasilar artery dissections","volume":"25","author":"Kitanaka","year":"1994","journal-title":"Stroke"},{"key":"ref_137","doi-asserted-by":"crossref","first-page":"139","DOI":"10.2214\/ajr.173.1.10397114","article-title":"Dissections of the internal carotid artery: Three-dimensional time-of flight MR angiography and M R imaging features","volume":"173","author":"Bousson","year":"1999","journal-title":"Am. J. Roentgenol."},{"key":"ref_138","first-page":"33","article-title":"Vertebrobasilar artery dissection: Current practice","volume":"8","author":"Boet","year":"2002","journal-title":"HKMJ"},{"key":"ref_139","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1007\/s002340050418","article-title":"MRI and MR angiography of vertebral artery dissection","volume":"39","author":"Mascalchi","year":"1997","journal-title":"Neuroradiology"},{"key":"ref_140","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1148\/radiology.190.1.8259436","article-title":"Carotid and vertebral artery dissections: Three-dimensional time-of flight MR angiography and MR imaging versus conventional angiography","volume":"190","author":"Laissy","year":"1994","journal-title":"Radiology"},{"key":"ref_141","doi-asserted-by":"crossref","unstructured":"Kim, J.H., Kwak, H.S., Hwang, S.B., and Chung, G.H. (2021). Differential diagnosis of intraplaque hemorrhage and dissection on high-resolution MR imaging in patients with focal high signal of the vertebrobasilar artery on TOF imaging. Diagnostics, 11.","DOI":"10.3390\/diagnostics11061024"},{"key":"ref_142","doi-asserted-by":"crossref","first-page":"609","DOI":"10.1007\/s00234-020-02549-y","article-title":"Delineability and anatomical variations of perforating arteries from normal vertebral artery on 3D DSA: Implications for endovascular treatment of dissecting aneurysms","volume":"63","author":"Tanoue","year":"2021","journal-title":"Neuroradiology"},{"key":"ref_143","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1136\/neurintsurg-2020-016818","article-title":"Absence of pontine perforators in vertebrobasilar dolichoectasia on ultra-high resolution cone-beam computed tomography","volume":"13","author":"Dobrocky","year":"2021","journal-title":"J. NeuroIntervent. Surg."},{"key":"ref_144","first-page":"101985","article-title":"Clinical characteristics and management of vertebral artery dissection without definitive imaging features: A single center cohort study","volume":"37","author":"Fukumoto","year":"2024","journal-title":"Interdiscip. Neurosurg. Adv. Tech. Case Manag."},{"key":"ref_145","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":"ref_146","doi-asserted-by":"crossref","first-page":"e935","DOI":"10.1016\/j.wneu.2021.05.024","article-title":"Factors predictive of enlargement of dissecting aneurysms in the vertebral artery","volume":"151","author":"Horio","year":"2021","journal-title":"World Neurosurg."},{"key":"ref_147","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1159\/000262314","article-title":"Isolated anterior cerebral artery territory infarction: Dissection as an etiological mechanism","volume":"29","author":"Sato","year":"2010","journal-title":"Cerebrovasc. Dis."},{"key":"ref_148","doi-asserted-by":"crossref","first-page":"1371","DOI":"10.3174\/ajnr.A3873","article-title":"Natural course of dissecting vertebrobasilar artery aneurysms without stroke","volume":"35","author":"Kobayashi","year":"2014","journal-title":"AJNR Am. J. Neuroradiol."},{"key":"ref_149","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1046\/j.1440-1789.2000.00275.x","article-title":"Pathologyof a dissecting intracranial aneurysm","volume":"20","author":"Sakata","year":"2000","journal-title":"Neuropathology"},{"key":"ref_150","doi-asserted-by":"crossref","first-page":"1085","DOI":"10.1227\/NEU.0b013e3182262adf","article-title":"Strategy for treating unruptured vertebralartery dissecting aneurysms","volume":"69","author":"Kai","year":"2011","journal-title":"Neurosurgery"},{"key":"ref_151","first-page":"1037","article-title":"Natural course of intracranial arterial dissections","volume":"114","author":"Mizutani","year":"2011","journal-title":"J. Neuro-Surg."},{"key":"ref_152","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1056\/NEJM199402103300604","article-title":"Recurrent spontaneous cervical-artery dissection","volume":"330","author":"Schievink","year":"1994","journal-title":"N. Engl. J. Med."},{"key":"ref_153","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1016\/S1474-4422(14)70271-6","article-title":"CADISS: A feasibility trial that answered its question","volume":"14","author":"Kasner","year":"2015","journal-title":"Lancet Neurol."},{"key":"ref_154","doi-asserted-by":"crossref","first-page":"686","DOI":"10.1212\/WNL.0b013e318264e36b","article-title":"Antiplatelets vs anticoagulationfor dissection: CADISS nonrandomized arm and meta-analysis","volume":"79","author":"Kennedy","year":"2012","journal-title":"Neurology"},{"key":"ref_155","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1093\/neuros\/nyw086","article-title":"Anticoagulation vs Antiplatelet Treatment in Patients with Carotid and Vertebral Artery Dissection: A Study of 370 Patients and Literature Review","volume":"80","author":"Daou","year":"2017","journal-title":"Neurosurgery"},{"key":"ref_156","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1016\/j.ejvs.2015.04.034","article-title":"Antithrombotic treatment for acute extracranial carotid artery dissections: A meta-analysis","volume":"50","author":"Chowdhury","year":"2015","journal-title":"Eur. J. Vasc. Endovasc. Surg."},{"key":"ref_157","doi-asserted-by":"crossref","first-page":"2515","DOI":"10.1161\/STROKEAHA.111.617282","article-title":"Safety and functional out-come of thrombolysis in dissection-related ischemic stroke: A meta-analysis of individual patient data","volume":"42","author":"Zinkstok","year":"2011","journal-title":"Stroke"},{"key":"ref_158","doi-asserted-by":"crossref","first-page":"667","DOI":"10.3171\/jns.1994.80.4.0667","article-title":"Nonsurgical treatment of unruptured intracranial vertebral artery dissection with serial follow-up angiography","volume":"80","author":"Kitanaka","year":"1994","journal-title":"J. Neurosurg."},{"key":"ref_159","first-page":"915.e7","article-title":"Intravenous Recombinant Tissue Plasminogen Activator Thrombolysis in Acute Ischemic Stroke due to Middle Cerebral Artery Dissection","volume":"21","author":"Doijiri","year":"2012","journal-title":"J. Stroke Cerebrovasc. Dis. Off. J. Natl. Stroke Association"},{"key":"ref_160","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1159\/000088166","article-title":"Intracranial dissections","volume":"20","author":"Chen","year":"2005","journal-title":"Front. Neurol. Neurosci."},{"key":"ref_161","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1016\/S0022-510X(97)00287-6","article-title":"Internal carotid artery dissection: An update","volume":"153","author":"Guillon","year":"1998","journal-title":"J. Neurol. Sci."},{"key":"ref_162","doi-asserted-by":"crossref","first-page":"1837","DOI":"10.1161\/STROKEAHA.106.479501","article-title":"Prognosis and safety of anticoagulation in intracranial artery dissections in adults","volume":"38","author":"Srinivasan","year":"2007","journal-title":"Stroke"}],"container-title":["Journal of Cardiovascular Development and Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2308-3425\/12\/5\/187\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T17:33:01Z","timestamp":1760031181000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2308-3425\/12\/5\/187"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,15]]},"references-count":162,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2025,5]]}},"alternative-id":["jcdd12050187"],"URL":"https:\/\/doi.org\/10.3390\/jcdd12050187","relation":{},"ISSN":["2308-3425"],"issn-type":[{"value":"2308-3425","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,15]]}}}