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Right Vertebral Artery Dissection, Lateral Medullary Syndrome (Wallenberg Syndrome)

Shogan PJS - MedPix (2008)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Right Vertebral Artery Dissection, Lateral Medullary Syndrome (Wallenberg Syndrome)

History: 28 y.o. woman, four months postpartum, with onset of neck pain, severe vertigo associated with severe vomiting, anesthesia of the right hemi-facial region and loss of sensation in the region of the left upper and lower extremities immediately following cervical chiropractic manipulation. The patient was unsuccessfully treated for vertigo associated with Meniere’s disease. The patient underwent a second cervical chiropractic treatment 15 days later, and presented with recurrent severe vertigo and associated hemi-anesthesia and difficulty phonating. Imaging was obtained one month following the initial chiropractic treatment

Findings: Occlusion of the right vertebral artery at the C1-2 level with subacute infarction of the right lateral medulla oblongata, and chronic infarction of the left flocculonodular lobe, as a result of traumatic chiropractic cervical manipulation.

Ddx: Dissection Racemose Capillary Telangiectasia

Dxhow: MRI and Angiogram

No MeSH data available.


FIESTA 3D axial image at the level of the medulla oblongata and flocculonodular lobe reveal loss of the normal signal within the right vertebral artery.  Additionally, subtle abnormal increased patchy signal is noted within the right lateral aspect of the medulla oblongata.
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MPX2563_synpic41807: FIESTA 3D axial image at the level of the medulla oblongata and flocculonodular lobe reveal loss of the normal signal within the right vertebral artery. Additionally, subtle abnormal increased patchy signal is noted within the right lateral aspect of the medulla oblongata.


Right Vertebral Artery Dissection, Lateral Medullary Syndrome (Wallenberg Syndrome)

Shogan PJS - MedPix (2008)

FIESTA 3D axial image at the level of the medulla oblongata and flocculonodular lobe reveal loss of the normal signal within the right vertebral artery.  Additionally, subtle abnormal increased patchy signal is noted within the right lateral aspect of the medulla oblongata.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2563&req=5

MPX2563_synpic41807: FIESTA 3D axial image at the level of the medulla oblongata and flocculonodular lobe reveal loss of the normal signal within the right vertebral artery. Additionally, subtle abnormal increased patchy signal is noted within the right lateral aspect of the medulla oblongata.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Right Vertebral Artery Dissection, Lateral Medullary Syndrome (Wallenberg Syndrome)

History: 28 y.o. woman, four months postpartum, with onset of neck pain, severe vertigo associated with severe vomiting, anesthesia of the right hemi-facial region and loss of sensation in the region of the left upper and lower extremities immediately following cervical chiropractic manipulation. The patient was unsuccessfully treated for vertigo associated with Meniere’s disease. The patient underwent a second cervical chiropractic treatment 15 days later, and presented with recurrent severe vertigo and associated hemi-anesthesia and difficulty phonating. Imaging was obtained one month following the initial chiropractic treatment

Findings: Occlusion of the right vertebral artery at the C1-2 level with subacute infarction of the right lateral medulla oblongata, and chronic infarction of the left flocculonodular lobe, as a result of traumatic chiropractic cervical manipulation.

Ddx: Dissection Racemose Capillary Telangiectasia

Dxhow: MRI and Angiogram

No MeSH data available.