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Vertebral artery dissection with compelling evidence on duplex ultrasound presenting only with neck pain

Authors Siepmann T, Borchert M, Barlinn K

Received 7 August 2016

Accepted for publication 20 September 2016

Published 1 November 2016 Volume 2016:12 Pages 2839—2841


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Dr Roger Pinder

Timo Siepmann, Monique Borchert, Kristian Barlinn

Department of Neurology, Carl Gustav Carus University Hospital, Technische Universität Dresden, Dresden, Germany

Abstract: Vertebral artery dissection (VAD) is among the most common identifiable etiologies of stroke in young adults and poses a diagnostic challenge due to nonspecific symptoms and substantial variability of imaging results. Here, we present a case of unspecific neck pain as isolated symptom of VAD with unusually compelling evidence on duplex ultrasound. This observation has clinical relevance as the absence of any neurological symptoms in our patient highlights the necessity of considering cervical artery dissection in patients presenting with unspecific symptoms such as neck pain, even if isolated. Furthermore, our image of intramural hematoma on duplex ultrasound has been captured in an unusual, clear and distinct fashion and might therefore be a useful reference image in the clinical assessment of patients with a suspicion of cervical artery dissection.

Keywords: vertebrobasilar, cervical, duplex sonography, magnetic resonance imaging

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