Threat of a Cycle Proof: Vertebral Artery Dissection Associated with Posterior Inferior Cerebellar Artery Infarction
This paper presents a case of a perfectly healthy 36-year-old male, who went to the emergency department with a clinical picture of diffuse headache, dizziness, and asthenia with 3 days of evolution, after a long cycling race. He was admitted to the ENT Department with suspected diagnosis of periphe...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Otolaryngology |
| Online Access: | http://dx.doi.org/10.1155/2018/5387607 |
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| _version_ | 1832555451154169856 |
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| author | Francisco Monteiro Pedro Oliveira Artur Condé |
| author_facet | Francisco Monteiro Pedro Oliveira Artur Condé |
| author_sort | Francisco Monteiro |
| collection | DOAJ |
| description | This paper presents a case of a perfectly healthy 36-year-old male, who went to the emergency department with a clinical picture of diffuse headache, dizziness, and asthenia with 3 days of evolution, after a long cycling race. He was admitted to the ENT Department with suspected diagnosis of peripheral vertigo. The patient developed hypoesthesia of the face, diplopia, right lateropulsion, and Romberg with preferential rightward fall, and imaging studies demonstrated an extracranial vertebral artery dissection concomitant with PICA territory infarction. This is a rare described case of a vertebral artery dissection concomitant with an infarction of the PICA territory. This case demonstrates the importance of maintaining a high degree of suspicion of stroke in patients with signs/symptoms of nystagmus/vertigo and the relevance of magnetic resonance imaging instead of tomography in the detection of these serious clinic conditions. |
| format | Article |
| id | doaj-art-1ef9f34ea4de4a5daf208f7bf0934163 |
| institution | Kabale University |
| issn | 2090-6765 2090-6773 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Otolaryngology |
| spelling | doaj-art-1ef9f34ea4de4a5daf208f7bf09341632025-02-03T05:48:06ZengWileyCase Reports in Otolaryngology2090-67652090-67732018-01-01201810.1155/2018/53876075387607Threat of a Cycle Proof: Vertebral Artery Dissection Associated with Posterior Inferior Cerebellar Artery InfarctionFrancisco Monteiro0Pedro Oliveira1Artur Condé2Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Center of Vila Nova Gaia/Espinho, Rua Conceição Fernandes s/n, 4434-502 Vila Nova de Gaia, PortugalDepartment of Otorhinolaryngology, Head and Neck Surgery, Hospital Center of Vila Nova Gaia/Espinho, Rua Conceição Fernandes s/n, 4434-502 Vila Nova de Gaia, PortugalDepartment of Otorhinolaryngology, Head and Neck Surgery, Hospital Center of Vila Nova Gaia/Espinho, Rua Conceição Fernandes s/n, 4434-502 Vila Nova de Gaia, PortugalThis paper presents a case of a perfectly healthy 36-year-old male, who went to the emergency department with a clinical picture of diffuse headache, dizziness, and asthenia with 3 days of evolution, after a long cycling race. He was admitted to the ENT Department with suspected diagnosis of peripheral vertigo. The patient developed hypoesthesia of the face, diplopia, right lateropulsion, and Romberg with preferential rightward fall, and imaging studies demonstrated an extracranial vertebral artery dissection concomitant with PICA territory infarction. This is a rare described case of a vertebral artery dissection concomitant with an infarction of the PICA territory. This case demonstrates the importance of maintaining a high degree of suspicion of stroke in patients with signs/symptoms of nystagmus/vertigo and the relevance of magnetic resonance imaging instead of tomography in the detection of these serious clinic conditions.http://dx.doi.org/10.1155/2018/5387607 |
| spellingShingle | Francisco Monteiro Pedro Oliveira Artur Condé Threat of a Cycle Proof: Vertebral Artery Dissection Associated with Posterior Inferior Cerebellar Artery Infarction Case Reports in Otolaryngology |
| title | Threat of a Cycle Proof: Vertebral Artery Dissection Associated with Posterior Inferior Cerebellar Artery Infarction |
| title_full | Threat of a Cycle Proof: Vertebral Artery Dissection Associated with Posterior Inferior Cerebellar Artery Infarction |
| title_fullStr | Threat of a Cycle Proof: Vertebral Artery Dissection Associated with Posterior Inferior Cerebellar Artery Infarction |
| title_full_unstemmed | Threat of a Cycle Proof: Vertebral Artery Dissection Associated with Posterior Inferior Cerebellar Artery Infarction |
| title_short | Threat of a Cycle Proof: Vertebral Artery Dissection Associated with Posterior Inferior Cerebellar Artery Infarction |
| title_sort | threat of a cycle proof vertebral artery dissection associated with posterior inferior cerebellar artery infarction |
| url | http://dx.doi.org/10.1155/2018/5387607 |
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