Bilateral vertebral artery dissection in the setting of ADEM

The pathophysiology of cervical artery dissection (CeAD), which accounts for a substantial number of strokes in young people, is insufficiently understood. Clinical and scientific observations are consistent with a multifactorial disease process, which comprises predisposing intrinsic factors as well as exogeneous triggers, including recent infection/inflammation [ [1] Debette S. Pathophysiology and risk factors of cervical artery dissection: what have we learnt from large hospital-based cohorts?. Curr. Opin. Neurol. 2014 Feb; 27: 20-28 Crossref Scopus (112) Google Scholar ].