A patient with Wallenberg's syndrome induced by severe cough.
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.
Nomura
Masahiro
M
Department of Digestion and Cardiovascular Medicine, University of Tokushima, Tokushima, Japan. nomura@clin.med.tokushima-u.ac.jp
Kannuki
Seiji
S
Kuwayama
Kazuyuki
K
Kohyama
Yukio
Y
Hayashi
Yoshinori
Y
Yamamoto
Erika
E
Kaji
Tadayoshi
T
Uehara
Kohzou
K
Nishikado
Akiyoshi
A
Ito
Susumu
S
Nakaya
Yutaka
Y
Nagahiro
Sinji
S
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