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Vertebral Artery Dissection

Hauff NH - MedPix (2011)

View Article: MedPix Image - MedPix Case

Affiliation: Naval Medical Center San Diego

ABSTRACT

Diagnosis: Vertebral Artery Dissection

History: 33 year old woman with 2 weeks of posterior headache and neck pain, nausea, and intermittent dizziness. This has been worsening over the last 2 days. She reports subjective paresthesias of both hands as well as left upper extremity weakness.

Findings: On the right, there is a long segment vertebral artery dissection spanning approximately from C1-C6. Brain imaging was did not show any restricted diffusion to suggest secondary ischemia.

Ddx: Differential diagnosis based on clinical presentation: Sub-arachnoid hemorrhage Tension headache TIA/Stroke Arterial dissection

Dxhow: CTA and MRA

Exam: No objective weakness on exam. Neurologically intact.

No MeSH data available.


Asymmetric narrowed lumen of right vertebral artery.  Prominent soft tissue attentuation surrounding contrast opacified lumen with symmtric size of transverse formania.
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MPX1690_synpic55882: Asymmetric narrowed lumen of right vertebral artery. Prominent soft tissue attentuation surrounding contrast opacified lumen with symmtric size of transverse formania.


Vertebral Artery Dissection

Hauff NH - MedPix (2011)

Asymmetric narrowed lumen of right vertebral artery.  Prominent soft tissue attentuation surrounding contrast opacified lumen with symmtric size of transverse formania.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1690&req=5

MPX1690_synpic55882: Asymmetric narrowed lumen of right vertebral artery. Prominent soft tissue attentuation surrounding contrast opacified lumen with symmtric size of transverse formania.

View Article: MedPix Image - MedPix Case

Affiliation: Naval Medical Center San Diego

ABSTRACT

Diagnosis: Vertebral Artery Dissection

History: 33 year old woman with 2 weeks of posterior headache and neck pain, nausea, and intermittent dizziness. This has been worsening over the last 2 days. She reports subjective paresthesias of both hands as well as left upper extremity weakness.

Findings: On the right, there is a long segment vertebral artery dissection spanning approximately from C1-C6. Brain imaging was did not show any restricted diffusion to suggest secondary ischemia.

Ddx: Differential diagnosis based on clinical presentation: Sub-arachnoid hemorrhage Tension headache TIA/Stroke Arterial dissection

Dxhow: CTA and MRA

Exam: No objective weakness on exam. Neurologically intact.

No MeSH data available.