Non-traumatic vertebral artery dissection presenting with unilateral cervical pain, hemilateral vision problems and headache.
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.
['van der Mieren|Gerry|G|', 'Mertens|Tom|T|', 'Somville|Francis J|FJ|']
D000328:Adult D000792:Angiography D000925:Anticoagulants D002574:Cervical Vertebrae D004636:Emergency Service, Hospital D005260:Female D005500:Follow-Up Studies D006261:Headache D006801:Humans D008991:Monitoring, Physiologic D019547:Neck Pain D018570:Risk Assessment D014057:Tomography, X-Ray Computed D018608:Ultrasonography, Doppler D020217:Vertebral Artery Dissection D014786:Vision Disorders
non-traumatic vertebral artery dissection unilateral Neck pain