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Vertebral artery disecting

Jun-Ichi Yokota, Yayoi Amakusa, Yutaka Tomita, Shin-Ichi Takahashi
A-38-year-old man suddenly developed nausea, vomiting and vertigo during chiropractic neck manipulation. This was followed by right hemiplegia, right deep sensory disturbance and left hypoglossal nerve palsy, consistent with the medial medullary infarction (Dejerine syndrome). The MRI revealed infarction at left medial part of the medulla. The vertebral angiogram and MRA showed marked narrowing of the left vertebral artery. X-rays of the cervical spine showed no spondylosis, dislocation nor osteolysis of the odontoid process...
February 2003: Nō to Shinkei, Brain and Nerve
J Ramírez-Moreno, I Casado-Naranjo, M Gómez-Gutiérrez, I García Castañón, C Ortiz Descane, J Zapata
Spontaneous dissection of the extracranial cervicocephalic arteries occurs most often in the internal carotid artery or vertebral artery. Spontaneous dissection of a common carotid artery is rare, with only nine cases having been reported. A 43-year-old man was hospitalized for sudden onset of motor aphasia and right arm weakness due to spontaneous dissection of a left common carotid artery; no sign of aortic disection was evident on aortogram. The most common causes of dissection of the common carotid artery are the extension of an aortic dissection and the complication in an angiogram with direct puncture; spontaneous dissection being very rare...
June 2001: Neurología: Publicación Oficial de la Sociedad Española de Neurología
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