Reap Valerie J
Department of Emergency Medicine, SUNY Upstate Medical University, Syracuse, New York.
Adv Emerg Nurs J. 2018 Jan/Mar;40(1):21-26. doi: 10.1097/TME.0000000000000174.
Spontaneous vertebral artery dissection (SVAD) is an extremely rare, yet life-threatening, event that can potentially result in ischemic stroke or subarachnoid hemorrhage, depending on the origin and extension of the dissection. Vertebral artery dissection is more commonly associated with traumatic injury to the neck, resulting in compromised structural integrity of the vertebral artery wall. This case study discusses the clinical presentation, physical examination, diagnosis, clinical course, and outcome for a young, otherwise healthy, female patient who presented to the emergency department with a SVAD.
自发性椎动脉夹层（SVAD）是一种极其罕见但危及生命的事件，根据夹层的起源和扩展情况，可能导致缺血性中风或蛛网膜下腔出血。椎动脉夹层更常与颈部创伤性损伤相关，导致椎动脉壁结构完整性受损。本病例研究讨论了一名年轻、身体健康的女性患者的临床表现、体格检查、诊断、临床过程及结果，该患者因自发性椎动脉夹层就诊于急诊科。
