title: Bilateral vertebral artery dissection possibly precipitated in delayed fashion as a result of roller coaster rides.
abstract: A 34-year-old woman presented with a 5-month history of persistent vertigo after multiple roller coaster rides, followed by neck pain for 1 month and then 2 weeks of blurred vision related to diplopia. She was ultimately found to have bilateral cervical vertebral artery dissection. The images are described and the literature is reviewed regarding late diagnosis of vertebral dissection and prior cases of roller coaster-associated dissection.
authors.affiliation: Loyola University Chicago, Stritch School of Medicine, Department of Neurology, Maywood, Illinois 60153, USA. mschneck@lumc.edu
authors.forename: Michael
authors.initials: M
authors.lastname: Schneck
authors.forename: Monica
authors.initials: M
authors.lastname: Simionescu
authors.forename: Armita
authors.initials: A
authors.lastname: Bijari
mesh_terms: D000054:Acceleration / Q000009:adverse effects; D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D001241:Aspirin / Q000627:therapeutic use; D001265:Athletic Injuries / Q000175:diagnosis* / Q000503:physiopathology; D001933:Brain Stem / Q000098:blood supply / Q000503:physiopathology; D003937:Diagnosis, Differential; D003951:Diagnostic Errors / Q000517:prevention & control; D004172:Diplopia / Q000209:etiology; D005260:Female; D007839:Functional Laterality / Q000502:physiology; D006801:Humans; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D019547:Neck Pain / Q000209:etiology; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D013997:Time Factors; D016896:Treatment Outcome; D014711:Vertebral Artery / Q000293:injuries* / Q000473:pathology* / Q000503:physiopathology; D020217:Vertebral Artery Dissection / Q000175:diagnosis* / Q000209:etiology* / Q000503:physiopathology; D014717:Vertigo / Q000209:etiology; D014859:Warfarin / Q000627:therapeutic use
chemical_list: D000925:Anticoagulants; D010975:Platelet Aggregation Inhibitors; D014859:Warfarin; D001241:Aspirin