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Updated: Mar 30, 2026

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Vertebral artery dissection in evolution found during chiropractic examination.

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Area of Science:

  • Neurology
  • Vascular Imaging

Background:

  • Migraine headaches can present with transient visual disturbances.
  • Vertebral artery dissection (VAD) is a potential cause of neurological symptoms, including visual changes and neck pain.

Observation:

  • A 30-year-old woman experienced transient left peripheral vision loss, initially diagnosed as ocular migraine.
  • She later presented with severe neck pain, prompting suspicion of vertebral artery dissection (VAD).

Findings:

  • MR angiography confirmed acute left VAD with thrombus formation.
  • Aspirin therapy led to thrombus resolution over 3 months, preventing stroke.
  • The patient's initial visual symptoms were likely related to the VAD.

Implications:

  • Healthcare providers should consider VAD in patients with neck pain and headache, even with a history of migraine.
  • Prompt diagnosis and management of VAD can prevent severe neurological outcomes like stroke.
  • This case highlights the importance of recognizing atypical presentations of VAD.