icd 10 code for dissection vertebral artery

by Arno Batz 8 min read

I77.74

What is dissected vertebral artery?

Vertebral artery dissection (VAD) is a flap-like tear of the inner lining of the vertebral artery, which is located in the neck and supplies blood to the brain. After the tear, blood enters the arterial wall and forms a blood clot, thickening the artery wall and often impeding blood flow.

Is a vertebral artery dissection a stroke?

Vertebral artery dissection (VAD) is a rare cause of stroke in the general population, but one of the more common causes of stroke in patients younger than 45 years of age. Its signs and symptoms can be vague, making diagnosis difficult.

Is a vertebral artery dissection and aneurysm?

Vertebral artery dissecting aneurysm (VADA) is a rare condition accounting for 3% of intracranial aneurysms. VADA may result in subarachnoid hemorrhage and ischemic stroke (1).Oct 25, 2019

What type of stroke is vertebral artery dissection?

Spontaneous dissections of the carotid and vertebral artery account for only about 2 percent of all ischemic strokes3,12,30,34), but they are an important cause of ischemic stroke in young and middle-aged patients and account for 10 to 25 percent of such cases.Sep 20, 2008

How do you know if you have vertebral artery dissection?

Vertebral artery dissection (VAD) is increasingly identified as a cause of ischemic stroke in young adults. Patients most commonly present with neck pain, headache, visual disturbance, or focal extremity weakness.Jan 29, 2021

How is vertebral artery dissection diagnosed?

Computed tomography (CT) scanning – Identifies subarachnoid hemorrhage ; CT angiography (CTA), along with magnetic resonance angiography (MRA), are the imaging modalities of choice for vertebral artery dissections; however, CTA is less accurate in the presence of calcified arteries.Feb 21, 2019

Is vertebral artery dissection an emergency?

Symptoms and Causes

Sometimes a stroke is the first sign of cervical artery dissection and emergency treatment is required. More commonly, symptoms develop over a period of hours or days, even in patients who have traumatic injuries.
May 24, 2019

What causes a dissected artery?

Carotid dissections usually develop without a clear cause (called spontaneous carotid artery dissection) or as a result of some sort of trauma (such as a car accident, sports injury, surgery, or chiropractic neck manipulation).

Is vertebral artery dissection a disability?

A Failure to Diagnose a Vertebral Artery Dissection (VAD) Can Lead to a Stroke, Permanent Brain Damage, and Usually Disability or Death to a Child. Certain blood vessels or arteries in your body are major arteries that supply blood and oxygen to your brain.Jul 14, 2011

What is traumatic vertebral artery dissection?

Traumatic vertebral artery (VA) dissection is a relatively uncommon but well-recognized sequelae of cervical trauma, with potentially life-threatening implications. VA dissection can occur as a result of different trauma types that cause excessive cervical rotation, distraction, or flexion-extension injuries.

What causes bilateral vertebral artery dissection?

Bilateral vertebral artery dissection has been reported in multiple scenarios including subarachnoid hemorrhage, acute disseminated encephalomyelitis (ADEM), sports related, in association with osteogenesis imperfecta, as the initial presentation of Cushing's syndrome, trampoline use, cervical spine manipulation, ...

What causes vertebral artery tear?

Vertebral artery injuries can be due to blunt trauma, penetrating trauma, or can occur spontaneously. The majority of vertebral artery injuries are due to blunt trauma from motor vehicle crashes. Falls, strangulation, and pedestrian accidents are less common causes.Feb 4, 2022

What is the name of the bulge in the wall of an artery?

Aneurysms. An aneurysm is a bulge or "ballooning" in the wall of an artery. Arteries are blood vessels that carry oxygen-rich blood from the heart to other parts of the body. If an aneurysm grows large, it can burst and cause dangerous bleeding or even death.

What are the different types of arteries?

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code: 1 Bilateral vertebral artery dissection 2 Dissection of anterior spinal artery 3 Dissection of left vertebral artery 4 Dissection of right vertebral artery 5 Dissection of vertebral artery

What is an aneurysm in the heart?

An aneurysm is a bulge or "ballooning" in the wall of an artery. Arteries are blood vessels that carry oxygen-rich blood from the heart to other parts of the body. If an aneurysm grows large, it can burst and cause dangerous bleeding or even death.

Can an aneurysm cause a stroke?

Aneurysms also can happen in arteries in the brain, heart and other parts of the body. If an aneurysm in the brain bursts, it causes a stroke. Aneurysms can develop and become large before causing any symptoms. Often doctors can stop aneurysms from bursting if they find and treat them early.

Where do aneurysms occur?

Most aneurysms occur in the aorta, the main artery that runs from the heart through the chest and abdomen. Aneurysms also can happen in arteries in the brain, heart and other parts of the body. If an aneurysm in the brain bursts, it causes a stroke. Aneurysms can develop and become large before causing any symptoms.

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