Neurosurgical Review

, Volume 13, Issue 1, pp 53–63 | Cite as

Diseases of the vertebral arteries

  • Hedwig Busch
  • Jürgen Bohl
  • Rainer Mattern
  • Richard Meyermann
Basic Research


Case reports and postmortem neuropathological findings of a wide spectrum of diseases affecting the vertebral arteries, in particular vasculitis, traumatic lesions, degenerative changes and congenital abnormalities, are discussed.


Anatomical variants chiropractic manipulation trauma vasculitis vertebral artery 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. [1]
    Aita JA: Systemic and non-arteriosclerotic causes of cerebral infarctions. In: Vinken, PJ, GW Bruyn (ed): Handbook of clinical neurology, Vol. 11. North-Holland Publishing Company, Amsterdam 1976Google Scholar
  2. [2]
    Aronson NJ: Traumatic arteriovenous fistula of the vertebral vessels. Angiographic demonstration and a rationale for treatment. Neurology 11 (1961) 817–823Google Scholar
  3. [3]
    Barton JW, MT Margolis: Rotational obstruction of the vertebral artery at the atlantoaxial joint. Neuroradiology 9 (1975) 117–120Google Scholar
  4. [4]
    Brown BSJ, WFT Tatlow: Radiographic studies of the vertebral arteries in cadavers: Effects of position and traction on the head. Radiology 81 (1963) 80–88Google Scholar
  5. [5]
    Carpenter S: Injury of the neck as cause of vertebral artery thrombosis. J Neurosurg 18 (1961) 849–853Google Scholar
  6. [6]
    Davis M, RA Zimmermann: Injury of the carotid and vertebral arteries. Review article. Neuroradiology 25 (1983) 55–69Google Scholar
  7. [7]
    Dunne JW, GN Conacher, M Kangure, C Harper: Dissecting aneurysms of the vertebral arteries following cervical manipulation: A case report. J Neurol, Neurosurg and Psych 50 (1987) 349–353Google Scholar
  8. [8]
    Enzmann D, WR Scott: Intracranial involvement of giant-cell arteritis. Neurology (1977) 794–797Google Scholar
  9. [9]
    Fauci AS, BF Haynes, P Katz: The spectrum of vasculitis: clinical, pathologic, immunologic and therapeutic considerations. Ann Intern Med 89 (1978) 660–676Google Scholar
  10. [10]
    Flynn RE: External carotid origin of the dominant vertebral artery. Case report. J Neurosurg 29 (1968) 300–301Google Scholar
  11. [11]
    Friedman AH, CG Drake: Subarachnoid hemorrhage from intracranial dissecting aneurysm. J Neurosurg 60 (1984) 325–334Google Scholar
  12. [12]
    Fuchs G, H Kühn, R Böttcher: Riesenzellarteritis der Bauchaorta mit tumorförmiger Wandverdickung. Pathologe 8 (1987) 112–116Google Scholar
  13. [13]
    Gordon AP, C-M Shaw, LM Wray: True traumatic aneurysm of the vertebral artery. Case report. J Neurosurg 53 (1980) 101–105Google Scholar
  14. [14]
    Gutmann G: Verletzungen der Arteria vertebralis durch manuelle Therapie. Manuelle Medizin 21 (1983) 2–14Google Scholar
  15. [15]
    Hart RG: Vertebral artery dissection. Neurology 38 (1988) 987–989Google Scholar
  16. [16]
    Hanus SH, TD Homer, DH Harter: Vertebral artery occlusion complicating yoga exercises. Arch Neurol 34 (1977) 574–575Google Scholar
  17. [17]
    Hegedüs K: Reticular fiber deficiency in the intracranial arteries of patients with dissecting aneurysm and review of the possible pathogenesis of previously reported cases. Eur Arch Psachiatr Neurol Sci 235 (1985) 102–106Google Scholar
  18. [18]
    Hutchinson EC, PO Yates: Cervical portion of vertebral artery. A clinico-pathological study. Brain 79 (1956) 319–331Google Scholar
  19. [19]
    Jentzen JM, J Amatuzio, GF Peterson: Complications of cervical manipulation: A case report of fatal brainstem infarct with review of the mechanisms and predisposing factors. J Forensic Sci JFSCA 32 (1987) 1089–1094Google Scholar
  20. [20]
    Jones MW, JCE Kaufmann: Vertebrobasilar artery insufficiency in rheumatoid atlantoaxial subluxation. J Neurol, Neurosurg and Psych 39 (1976) 122–128Google Scholar
  21. [21]
    Judge RD, RD Currier, WA Gracie, MM Figley: Takayasu's arteritis and the aortic arch syndrome. Amer J Med 32 (1962) 379–392Google Scholar
  22. [22]
    Katirji MB, OM Reinmuth, RE Latchaw: Stroke due to vertebral artery injury. Arch Neurol 42 (1985) 242–248Google Scholar
  23. [23]
    Lorenz R, H-G Vogelsang: Thrombose der A. basilaris nach chiropraktischen Manipulationen an der Halswirbelsäule. Dtsch med Wschr 97 (1972) 36–43Google Scholar
  24. [24]
    Mehalic T, SM Farhat: Vertebral artery injury from chiropractic manipulation of the neck. Surg Neurol 2 (1974) 125–129Google Scholar
  25. [25]
    Meyermann R: Möglichkeiten einer Schädigung der A. vertebralis. Manuelle Medizin 20 (1982) 105–114Google Scholar
  26. [26]
    Peter HH: Vaskulitiden, Einteilung, Pathogenese und Therapie. Dt. Ärzteblatt 86 (1989) 22–29Google Scholar
  27. [27]
    Russell RWR: Less common varieties of cerebral arterial disease. In: Russel RWR (ed): Vascular disease of the central nervous system. Churchill Livingstone, Edinbourgh-London-Melbourne-New York 1983Google Scholar
  28. [28]
    Schneider RC, GW Schemm: Vertebral artery insufficiency in acute and chronic spinal trauma. With special reference to the syndrome of acute central cervical spinal cord injury. J Neurosurg 18 (1961) 348–360Google Scholar
  29. [29]
    Simeone, FA, HJ Goldberg: Thrombosis of the vertebral artery from hyperextension injury to the neck. Case report. J Neurosurg 29 (1968) 540–544Google Scholar
  30. [30]
    Stehbens WE: Pathology of the cerebral blood vessels. Mosby Comp., St. Louis 1972Google Scholar
  31. [31]
    Steimle R, G Jacquet, J Godard, F Chico, A Zaitouni, M Orabi: Traumatismes fermés des artéres carotides et vertébrales extra-crâniennes. Chirurgie 113 (1987) 130–139Google Scholar
  32. [32]
    Toole JF, SH Tucker: Influence of head position upon cerebral circulation. Studies on blood flow in cadavers. Arch Neurol 2 (1960) 616–628Google Scholar
  33. [33]
    Wilkinson JMS, RWR Russel: Arteries of the head and neck in giant cell arteritis. A pathological study to show the pattern of arterial involvement. Arch Neurol 27 (1972) 378–391Google Scholar

Copyright information

© Walter de Gruyter & Co. 1990

Authors and Affiliations

  • Hedwig Busch
    • 1
  • Jürgen Bohl
    • 1
  • Rainer Mattern
    • 2
  • Richard Meyermann
    • 3
  1. 1.Department of NeuropathologyUniversity of MainzMainzWest Germany
  2. 2.Department of Forensic MedicineMainzWest Germany
  3. 3.Max-Planck-InstituteWürzburgWest Germany

Personalised recommendations