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Published on: June 18, 2021
Non-traumatic vertebral artery dissection presenting with unilateral cervical pain, hemilateral vision problems and
Gerry van der Mieren1, Tom Mertens1, Francis J Somville1
1a Department of Emergency and Traumatology , AZ St Dimpna , Geel , Belgium.
Abstract:
Spontaneous vertebral artery dissection is a rare condition, mainly affecting young adults with non-specific symptoms, which are often considered not severe. We report a case of a non-traumatic vertebral artery dissection in a 30-year-old woman. Our patient presented with unilateral right-sided neck pain and frontal headache during 3 weeks and recently developed right-sided vision problems. History and clinical findings were non-specific. Neurovascular imaging showed a right-sided vertebral artery dissection from C2 to C6 with an intima flap at C5-C6. The patient was observed in the stroke unit for 1 week and antithrombotics were given during 3 months. There was a complete revascularization of the vertebral artery after 3 months. A review of literature is given concerning predisposing factors, clinical symptoms, neurovascular imaging and treatment options.
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