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Spontaneous vertebral artery dissection initially mimicking myocardial infarction
D Linden1, W Steinke, A Schwartz
1Department of Neurology, University of Heidelberg, Mannheim, FRG.
Stroke
|July 1, 1992
Summary
Vertebral artery dissection can present with unusual symptoms like arm pain, delaying diagnosis. Early recognition and noninvasive imaging are crucial for timely treatment of this serious vascular condition.
Area of Science:
- Vascular Neurology
- Diagnostic Imaging
Background:
- Vertebral and carotid artery dissections pose diagnostic challenges due to varied presentations.
- Prompt diagnosis is essential to prevent further complications and guide appropriate management.
Observation:
- A 46-year-old man experienced atypical left upper arm pain and discomfort, leading to a cardiac workup.
- During cardiological evaluation, the patient developed a brain stem syndrome, prompting further investigation.
- Ultrasound Doppler identified vertebral artery dissection, subsequently confirmed by angiography.
Findings:
- The patient's initial symptoms of arm pain were an unusual presentation of vertebral artery dissection.
- The atypical presentation delayed the diagnosis and initiation of treatment for vertebral artery dissection.
Implications:
- This case highlights the importance of considering vertebral artery dissection in patients with uncharacteristic symptoms.
- Noninvasive imaging modalities should be utilized promptly in ambiguous clinical scenarios to facilitate early diagnosis.
- Timely diagnosis of vertebral artery dissection can prevent severe neurological sequelae and improve patient outcomes.
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