Skip Navigation

This Article
Right arrow Full Text Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (23)
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Cloud, G.C.
Right arrow Articles by Markus, H.S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Cloud, G.C.
Right arrow Articles by Markus, H.S.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

Q J Med 2003; 96: 27-54
© 2003 Association of Physicians

Review

Diagnosis and management of vertebral artery stenosis

G.C. Cloud and H.S. Markus

From the Division of Clinical Neuroscience, St George's Hospital Medical School, London, UK

The first 150 words of the full text of this article appear below.


   Introduction
 
Approximately one-quarter of ischaemic strokes involve the posterior or vertebrobasilar circulation.1,2 Stenosis of the vertebral artery can occur in either its extra- or intracranial portions, and may account for up to 20% of posterior circulation ischaemic strokes.3–6 Stenotic lesions, particularly at the origin of the vertebral artery, are not uncommon. In an angiographic study of 4748 patients with ischaemic stroke, some degree of proximal extracranial vertebral artery stenosis was seen in 18% of cases on the right and 22.3% on the left.7 This was the second most common site of stenosis after internal carotid artery stenosis at the carotid bifurcation. Such stenotic lesions are now potentially treatable by endovascular techniques.8

In marked contrast with carotid artery stenosis, the optimal management of vertebral artery stenosis has received limited attention, and is poorly understood. This partly reflects difficulties in imaging the vertebral artery adequately, and limited surgical treatment options. Recent improvements in . . . [Full Text of this Article]


   Anatomy
 

   Extracranial vertebral artery stenosis
 

   Intracranial vertebral stenosis
 

   The role of imaging in diagnosis
 

   Treatment
 
Medical treatment
Surgical treatment
Endovascular treatment

   Conclusion
 

Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Am. J. Roentgenol.Home page
Y. Hua, X.-F. Meng, L.-Y. Jia, C. Ling, Z.-R. Miao, F. Ling, and J.-B. Liu
Color Doppler Imaging Evaluation of Proximal Vertebral Artery Stenosis
Am. J. Roentgenol., November 1, 2009; 193(5): 1434 - 1438.
[Abstract] [Full Text] [PDF]

Home page
 J. Neurol. Neurosurg. PsychiatryHome page
J M Hong, C-S Chung, O Y Bang, S W Yong, I S Joo, and K Huh
Vertebral artery dominance contributes to basilar artery curvature and peri-vertebrobasilar junctional infarcts
J. Neurol. Neurosurg. Psychiatry, October 1, 2009; 80(10): 1087 - 1092.
[Abstract] [Full Text] [PDF]