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Published on: July 21, 2013
Spontaneous vertebral artery dissection: Posterior circulation stroke
Manoj Deshmukh1, Anju Wadhwa2, Ravi Rajdeo2
1Department of Radio Diagnosis, Lilavati Hospital and Research Center, Mumbai, Maharashtra, India.
Abstract:
Spontaneous vertebral artery dissection (VAD) is relatively rare but an important cause of posterior circulation stroke. A 46-year-male complaining of sudden onset headache, neck pain with right-sided neuro deficit in the form of hemiparesis was evaluated by contrast magnetic resonance imaging and dual-energy computed tomography (CT) and brain neck angiography which revealed a short segment extracranial left-sided VAD, associated with acute infarct in the left occipital region. The patient was managed conservatively and followed up for 6 months. Follow-up CT angiography after a period of 6 months revealed the near complete resolution of the arterial dissection in left vertebral artery.
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