Vertebral artery dissection from neck flexion during paroxysmal coughing.
Vertebral artery dissection has a characteristic presentation that should be considered when symptoms are preceded by any trauma that causes neck movement. We present the case of a man with vertebral artery dissection following severe coughing that presented as a postero-inferior cerebellar artery territory stroke. The patient was anti-coagulated, and his neurologic deficits were partially resolved. The mechanism and presentation of vertebral artery dissection are discussed with an emphasis on early detection.
Herr
R D
RD
Department of Surgery, University of Utah Medical School, Salt Lake City.
Call
G
G
Banks
D
D
D000328:Adult; D000784:Aortic Dissection / Q000150:complications / Q000000981:diagnostic imaging / Q000209:etiology*; D002544:Cerebral Infarction / Q000175:diagnosis / Q000209:etiology*; D003371:Cough / Q000150:complications*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009333:Neck / Q000502:physiology; D011187:Posture; D011859:Radiography; D014711:Vertebral Artery / Q000000981:diagnostic imaging