Vertebral artery dissection presenting as a Brown-Séquard syndrome: a case report.

Journal of Medical Case Reports
Saul MillerEli Miller

Abstract

Vertebral artery dissection has become increasingly recognized as an important cause of stroke. It usually presents with posterior headache or neck pain followed within hours or days by signs of posterior circulation stroke. To the best of our knowledge, the clinical presentation of a Brown-Séquard syndrome with a vertebral artery dissection has been reported only once before. An otherwise healthy 35-year-old man presented with acute left-sided weakness. He had experienced left-sided posterior neck pain after a 4-hour flight 4 weeks previously. Physical examination was consistent with a left Brown-Séquard syndrome. Magnetic resonance angiography showed evidence of left vertebral artery dissection. He improved after therapy with anticoagulants. We report a case of an unusual presentation of a relatively uncommon condition. This diagnosis should be considered early in relatively young patients with stroke-like symptoms or unexplained neck pain, because missing a dissection can result in adverse outcomes.

References

Jun 1, 1988·Neurology·B MokriD G Piepgras
Apr 4, 1998·Journal of Neurology, Neurosurgery, and Psychiatry·P GoldsmithR Kapoor
May 12, 1998·Journal of Neurology, Neurosurgery, and Psychiatry·A AuerF Aichner
Jul 26, 2000·Neurology·B CrumJ Fulgham
Oct 18, 2000·The Cochrane Database of Systematic Reviews·P Lyrer, S Engelter
Mar 22, 2001·The New England Journal of Medicine·W I Schievink
Aug 15, 2003·The Cochrane Database of Systematic Reviews·P Lyrer, S Engelter
Jan 24, 2004·Stroke; a Journal of Cerebral Circulation·Philippe Lyrer, Stefan Engelter
Jun 7, 2005·Postgraduate Medical Journal·B ThanviT G Robinson

❮ Previous
Next ❯

Citations

Aug 3, 2016·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Jae Young ChoiJae Il Lee
Feb 1, 2018·Advanced Emergency Nursing Journal·Valerie J Reap

❮ Previous
Next ❯

Methods Mentioned

BETA
dissection
imaging techniques
dissections

Related Concepts

Related Feeds

CSF & Lymphatic System

This feed focuses on Cerebral Spinal Fluid (CSF) and the lymphatic system. Discover the latest papers using imaging techniques to track CSF outflow into the lymphatic system in animal models.

© 2022 Meta ULC. All rights reserved