Non-traumatic vertebral artery dissection presenting with unilateral cervical pain, hemilateral vision problems and headache

Mieren, Gerry Van der; Mertens, Tom; Somville, Francis

doi:10.1080/00015458.2016.1171076

Cited by 2 publications

(2 citation statements)

References 10 publications

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“…The symptoms range from being asymptomatic to headache, neck pain, facial pain, cranial nerve palsies, nausea, vomiting, and dizziness [ 5 ]. Vertebral artery dissections more commonly present as posterior strokes with vertigo, nausea, vomiting, ataxia, and altered mental status [ 6 ]. Pain is often a frequent preceding symptom, especially in traumatic dissections, and in spontaneous dissections, it can be delayed for hours to days [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Atraumatic Vertebral Dissection in a Patient With Altered Mental Status

Kana¹,

Alsurakhi²,

Kawamj³

et al. 2023

Cureus

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The most common manifestations of vertebral artery dissection in approximately 80% of patients are headaches or neck pain. We discuss a case of a 34-year-old patient who presented to the emergency department with altered mental status and nonspecific symptoms. A CT angiogram with intravenous contrast revealed a dissection of the left vertebral artery, and the patient was found to have thromboembolism in the right occipital lobe with ischemia on MRI. This case demonstrates the importance of maintaining a broad differential diagnosis for patients who present with altered mental status and nonspecific symptoms such as headache and neck pain in order to adequately diagnose a potentially fatal condition.

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Section: Discussionmentioning

confidence: 99%

Atraumatic Vertebral Dissection in a Patient With Altered Mental Status

Kana¹,

Alsurakhi²,

Kawamj³

et al. 2023

Cureus

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“…[ 2 , 3 ] Many improved imaging techniques can be used to detect VAD, including MRI (magnetic resonance imaging), MRA (magnetic resonance angiography), and DSA (digital subtracted angiography). [ 4 – 6 ]…”

Section: Introductionmentioning

confidence: 99%

Bilateral vertebral artery dissection complicated by posterior circulation stroke in a young man

Liu

Wang

et al. 2020

Medicine

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Introduction: Vertebral artery dissection (VAD) is a common cause of stroke in young and mid-aged adults without predisposing risk factors for vascular disease. It can be induced by a particular head or neck posture; its early signs often include headache and neck pain. Improved imaging techniques can be used to detect VAD, whose current treatment options are limited. Patient concerns: The patient presented with neck and shoulder pain for a week after sleeping against the wall with cervical proneness for 1 night. He had sudden headache, slurred speech, and left side weakness for 1.5 hours on admission. Diagnosis: The patient had VAD complicated by posterior circulation stroke. Interventions: Acute stroke was treated with intravenous thrombolytic therapy. Then, the patient was administered follow-up anticoagulants. Outcomes: The patient's condition improved after thrombolytic therapy. He recovered well, with no recurrence during a 4-year follow-up. Conclusion: VAD should be taken into consideration in differential diagnosis of posterior circulation stroke or transient ischemic attack in young patients. Intravenous thrombolytic therapy may be safe and effective for stroke-complicated cases. This case report demonstrates that expanded diagnostic protocol for acute ischemic stroke assures rapid and correct diagnosis.

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Non-traumatic vertebral artery dissection presenting with unilateral cervical pain, hemilateral vision problems and headache

Cited by 2 publications

References 10 publications

Atraumatic Vertebral Dissection in a Patient With Altered Mental Status

Atraumatic Vertebral Dissection in a Patient With Altered Mental Status

Bilateral vertebral artery dissection complicated by posterior circulation stroke in a young man

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