PMID: 8750547Feb 1, 1996Paper

Dissection of the vertebral artery with cervical nerve root lesions

Journal of Neurology
A HetzelC H Lucking

Abstract

Vertebral artery dissection may cause upper limb peripheral motor deficit. We report three young patients presenting with nuchal pain followed by a nearly painless proximal paresis of the arm several days later. The cause, as detected by colour-coded Duplex sonography and MRI, was an extracranial dissection of the vertebral artery. The proximity of the intervertebral segment to the vertebral artery and the nerve roots indicated that compression by an intramural haematoma was the likely cause of the disorder. Subsequent examinations during anticoagulation treatment showed almost complete disappearance of the intramural haematoma and of the neurological deficits within a few weeks. We believe that the occurrence of an upper limb peripheral motor deficit should be added to the spectrum of potentially misleading signs of vertebral artery dissection.

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Citations

Apr 12, 2007·Journal of Neurology·M HardmeierS Renaud
Jan 12, 2001·The Journal of Orthopaedic and Sports Physical Therapy·R S Wainner, H Gill
Jun 30, 2009·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Demet Funda BasMehmet Akif Topcuoglu
Jan 16, 2007·Clinical Neurology and Neurosurgery·Eberhard UhlClaudia Goetz
Sep 2, 2003·Physical Medicine and Rehabilitation Clinics of North America·Jay J Han, George H Kraft
Jul 7, 2000·Muscle & Nerve·J Rowin, M N Meriggioli
Dec 20, 2013·Asian Spine Journal·Benjamin Isaac SilbertPeter Linton Silbert
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May 9, 2000·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·J Y FournierG Hildebrandt
Jul 26, 2000·Neurology·B CrumJ Fulgham

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