title: Rapid progression of symptomatic vertebrobasilar artery dissection on magnetic resonance imaging: a case report.
abstract: Spontaneous intracranial vertebrobasilar dissection can manifest with various clinical symptoms, including subarachnoid hemorrhage or ischemic symptoms from impaired posterior circulation. A 29-year-old woman came to our emergency department with a sudden onset of left sided mild motor weakness and headache. Initial magnetic resonance imaging (MRI) showed mild luminal irregularities in the vertebrobasilar arteries with an eccentric periluminal hematoma. Follow-up MRI obtained 3 days later showed a progression of vertebrobasilar dissection to multifocal stenoses with an increased intramural hematoma.
authors.affiliation: Department of Neurosurgery, IS Hallym Medical Center, Incheon, Korea.
authors.forename: Hyung-Seok
authors.initials: HS
authors.lastname: Kim
authors.affiliation: Department of Radiology, Chonbuk National University Medical School and Hospital, Jeonju, Korea.
authors.forename: Hyo-Sung
authors.initials: HS
authors.lastname: Kwak
authors.affiliation: Department of Radiology, Chonbuk National University Medical School and Hospital, Jeonju, Korea.
authors.forename: Seung Bae
authors.initials: SB
authors.lastname: Hwang
authors.affiliation: Department of Radiology, Chonbuk National University Medical School and Hospital, Jeonju, Korea.
authors.forename: Gyung Ho
authors.initials: GH
authors.lastname: Chung
keywords: Magnetic resonance imaging; Stroke; Vertebrobasilar dissection