title: A patient with Wallenberg's syndrome induced by severe cough.
abstract: A 45-year-old man developed severe cough with cervical pain. The patient was unable to hold an upright position. The origin of the right posterior inferior cerebellar artery was not enhanced by angiography. MRI showed a high signal intensity string-like structure of the right vertebral artery. In young patients, Wallenberg's syndrome related to mild head trauma has been reported. However, none of the previous studies related to vertebral arterial dissection was induced by severe cough. When cervical pain is present in young patients with severe cough, MRI should be performed to evaluate the possibility of vertebral arterial dissection.
authors.affiliation: Department of Digestion and Cardiovascular Medicine, University of Tokushima, Tokushima, Japan. nomura@clin.med.tokushima-u.ac.jp
authors.forename: Masahiro
authors.initials: M
authors.lastname: Nomura
authors.forename: Seiji
authors.initials: S
authors.lastname: Kannuki
authors.forename: Kazuyuki
authors.initials: K
authors.lastname: Kuwayama
authors.forename: Yukio
authors.initials: Y
authors.lastname: Kohyama
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Hayashi
authors.forename: Erika
authors.initials: E
authors.lastname: Yamamoto
authors.forename: Tadayoshi
authors.initials: T
authors.lastname: Kaji
authors.forename: Kohzou
authors.initials: K
authors.lastname: Uehara
authors.forename: Akiyoshi
authors.initials: A
authors.lastname: Nishikado
authors.forename: Susumu
authors.initials: S
authors.lastname: Ito
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Nakaya
authors.forename: Sinji
authors.initials: S
authors.lastname: Nagahiro
mesh_terms: D002533:Cerebral Angiography / Q000379:methods; D003371:Cough / Q000150:complications*; D006801:Humans; D014854:Lateral Medullary Syndrome / Q000000981:diagnostic imaging / Q000209:etiology*; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008875:Middle Aged