Background: There are limited clinical studies of bilateral vertebral artery dissection (VAD). Objective: To compare the characteristics, imaging findings, and treatments between patients with bilateral and unilateral VAD. Methods: Between February 2007 and May 2017, 31 (mean age: 53.0 years; 23 men, 8 women) out of 171 VAD patients were hospitalized because of bilateral VAD. Onset type, dissection site, dominant side of the VA, imaging features, treatments, and outcomes were investigated based on medical records.

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