Department of Central Radiology, Ibn Rochd University Hospital, Casablanca, Morocco.
Pan Afr Med J. 2021 Dec 11;40:219. doi: 10.11604/pamj.2021.40.219.29825. eCollection 2021.
Vertebrobasilar artery dissection (VBD) is a rare cause of posterior ischemic strokes. It is more likely to occur in young patients with a history of traumatism or hereditary connective tissue disorders. Spontaneous VBD is rare, especially in elder patients. This paper aims to report the case of an old patient that presented with a posterior ischemic stroke due to a spontaneous vertebral artery dissection (SVAD), linked to atherosclerosis. The diagnosis of SVAD was made by Magnetic resonance imaging (MRI) which is the gold standard technique to diagnose this pathology in a short time so the patient could receive adequate treatment.
椎基底动脉夹层(VBD)是引起后循环缺血性卒中的罕见病因。它更可能发生于有创伤史或遗传性结缔组织疾病病史的年轻患者中。自发性 VBD 较为少见,尤其在老年患者中。本文旨在报告 1 例老年患者因自发性椎动脉夹层(SVAD)引起的后循环缺血性卒中,该患者的 SVAD 与动脉粥样硬化相关。MRI 是诊断该病理的金标准技术,能够在短时间内做出诊断,从而使患者得到充分的治疗,因此该患者的诊断是基于 MRI 做出的。