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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 right T1 hyperintense signal within the mural periphery, compatible with mural hematoma.
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MPX1690_synpic55883: Asymmetric narrowed lumen of right vertebral artery. Prominent right T1 hyperintense signal within the mural periphery, compatible with mural hematoma.


Vertebral Artery Dissection

Hauff NH - MedPix (2011)

Asymmetric narrowed lumen of right vertebral artery.  Prominent right T1 hyperintense signal within the mural periphery, compatible with mural hematoma.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

MPX1690_synpic55883: Asymmetric narrowed lumen of right vertebral artery. Prominent right T1 hyperintense signal within the mural periphery, compatible with mural hematoma.

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.