Self-inflicted vertebral artery dissection: a case report and review of literature

Vertebral artery dissection (VAD) is an important cause of stroke in the young. It can present nonspecifically and may be misdiagnosed leading to adverse consequences. Dissections are usually preceded by trauma or mechanical stress; the vascular stressors may be trivial as this condition has been described in association with manipulation and stretching of the neck. Early recognition of VAD is paramount, as timely initiation of appropriate anticoagulation can be crucial in ensuring full recovery. We present a case of self-inflicted vertebral artery dissection complicated by multiple embolic strokes where early treatment with anticoagulation led to a complete neurological recovery.