J Neurol Surg A Cent Eur Neurosurg 2020; 81(01): 075-079
DOI: 10.1055/s-0039-1691754
Case Report
Georg Thieme Verlag KG Stuttgart · New York

A Rare Case of Bilateral Vertebral Artery Dissection Associated with Essential Thrombocythemia

Hafiz Khuram Raza*
1  Department of Neurology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China
,
Jia Jing*
2  Department of Biology, Georgia State University, Atlanta, Georgia, United States
,
Hao Chen*
1  Department of Neurology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China
,
Jienan Zhu
1  Department of Neurology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China
,
Zuohui Zhang
1  Department of Neurology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China
,
Thitsavanh Chansysouphanthong
3  School of International Education, Xuzhou Medical University, Xuzhou, China
,
Guiyun Cui
1  Department of Neurology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China
,
Fang Hua
1  Department of Neurology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China
,
Xinchun Ye
1  Department of Neurology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China
,
Hongjuan Shi
1  Department of Neurology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China
,
Haiyang Jiang
4  Department of Senile Diseases, People's Liberation Army Hospital No. 82, Huaian, China
› Author Affiliations
Funding Source This article was supported by the National Natural Science Foundation of China (Grant No. 81271268).
Further Information

Publication History

29 August 2018

06 February 2019

Publication Date:
06 June 2019 (online)

Abstract

A young patient presented to our hospital with ischemic stroke. She underwent a routine blood test, head computed tomography (CT), brain magnetic resonance imaging, a bone marrow biopsy, and CT angiography. Her diagnosis was a bilateral vertebral artery dissection associated with essential thrombocythemia (ET). She was treated with antiplatelet therapy and a stent implantation. The association of bilateral vertebral artery dissection with ET is rare. An early diagnosis and timely management is key to the best outcome.

* These authors contributed equally to this work.