Vertebral artery dissection with compelling evidence on duplex ultrasound presenting only with neck pain
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...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2016-11-01
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| Series: | Neuropsychiatric Disease and Treatment |
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| Online Access: | https://www.dovepress.com/vertebral-artery-dissection-with-compelling-evidence-on-duplex-ultraso-peer-reviewed-fulltext-article-NDT |
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| author | Siepmann T Borchert M Barlinn K |
| author_facet | Siepmann T Borchert M Barlinn K |
| author_sort | Siepmann T |
| collection | DOAJ |
| description | 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 |
| format | Article |
| id | doaj-art-43794fb76ee74908b2080d9c4ceb306f |
| institution | Kabale University |
| issn | 1178-2021 |
| language | English |
| publishDate | 2016-11-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Neuropsychiatric Disease and Treatment |
| spelling | doaj-art-43794fb76ee74908b2080d9c4ceb306f2025-08-20T03:27:01ZengDove Medical PressNeuropsychiatric Disease and Treatment1178-20212016-11-01Volume 12Issue 12839284129808Vertebral artery dissection with compelling evidence on duplex ultrasound presenting only with neck painSiepmann T0Borchert MBarlinn K1Department of NeurologyDepartment of NeurologyTimo 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 imaginghttps://www.dovepress.com/vertebral-artery-dissection-with-compelling-evidence-on-duplex-ultraso-peer-reviewed-fulltext-article-NDTDissectionVertebrobasilarUltrasoundMagnetic Resonance ImagingVertebral artery |
| spellingShingle | Siepmann T Borchert M Barlinn K Vertebral artery dissection with compelling evidence on duplex ultrasound presenting only with neck pain Neuropsychiatric Disease and Treatment Dissection Vertebrobasilar Ultrasound Magnetic Resonance Imaging Vertebral artery |
| title | Vertebral artery dissection with compelling evidence on duplex ultrasound presenting only with neck pain |
| title_full | Vertebral artery dissection with compelling evidence on duplex ultrasound presenting only with neck pain |
| title_fullStr | Vertebral artery dissection with compelling evidence on duplex ultrasound presenting only with neck pain |
| title_full_unstemmed | Vertebral artery dissection with compelling evidence on duplex ultrasound presenting only with neck pain |
| title_short | Vertebral artery dissection with compelling evidence on duplex ultrasound presenting only with neck pain |
| title_sort | vertebral artery dissection with compelling evidence on duplex ultrasound presenting only with neck pain |
| topic | Dissection Vertebrobasilar Ultrasound Magnetic Resonance Imaging Vertebral artery |
| url | https://www.dovepress.com/vertebral-artery-dissection-with-compelling-evidence-on-duplex-ultraso-peer-reviewed-fulltext-article-NDT |
| work_keys_str_mv | AT siepmannt vertebralarterydissectionwithcompellingevidenceonduplexultrasoundpresentingonlywithneckpain AT borchertm vertebralarterydissectionwithcompellingevidenceonduplexultrasoundpresentingonlywithneckpain AT barlinnk vertebralarterydissectionwithcompellingevidenceonduplexultrasoundpresentingonlywithneckpain |