An unusual cause of vertebral artery dissection: esophagogastroduodenoscopy.
Brain-supplying arterial dissection is considered one of the most common vascular causes of stroke in younger patients. Dissections are usually preceded by trauma or mechanical stress; the vascular stressor may be trivial as this condition has been described in association with manipulation and stretching the neck. Here we describe a case of vertebral artery dissection and stroke following esophagogastroduodenoscopy. This case highlights a potentially serious complication that may occur after procedures that require hyperextension of the neck.
Testai
Fernando D
FD
Section of Cerebrovascular Disease and Neurological Critical Care, Department of Neurology and Rehabilitation, College of Medicine at Chicago, University of Illinois, 912 S. Wood Street Room 855N, Chicago, IL 60612, USA.
Gorelick
Philip B
PB