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Tapia syndrome caused by a vertebral artery dissection
Mutlaq Al-Sihan1, Martin Schumacher, Erwin Löhle
1Department of Otorhinolaryngology, Freiburg University Hospital, Denglerstr. 78, 53173 Bonn, Germany. al_sihan@yahoo.com
Abstract:
A 63-year-old man presented to our otorhinolaryngology department with hoarseness and neck pain of 3 weeks' duration. After a thorough workup, we established a diagnosis of Tapia syndrome secondary to a vertebral artery dissection. We review the literature and discuss the clinical presentation of this rare syndrome.
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Flail Chest-I
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...

