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

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 un...

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Autores principales: Siepmann, Timo, Borchert, Monique, Barlinn, Kristian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5098769/
https://www.ncbi.nlm.nih.gov/pubmed/27843318
http://dx.doi.org/10.2147/NDT.S119247
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author Siepmann, Timo
Borchert, Monique
Barlinn, Kristian
author_facet Siepmann, Timo
Borchert, Monique
Barlinn, Kristian
author_sort Siepmann, Timo
collection PubMed
description 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.
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spelling pubmed-50987692016-11-14 Vertebral artery dissection with compelling evidence on duplex ultrasound presenting only with neck pain Siepmann, Timo Borchert, Monique Barlinn, Kristian Neuropsychiatr Dis Treat Case Report 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. Dove Medical Press 2016-11-01 /pmc/articles/PMC5098769/ /pubmed/27843318 http://dx.doi.org/10.2147/NDT.S119247 Text en © 2016 Siepmann et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Case Report
Siepmann, Timo
Borchert, Monique
Barlinn, Kristian
Vertebral artery dissection with compelling evidence on duplex ultrasound presenting only with neck pain
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 Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5098769/
https://www.ncbi.nlm.nih.gov/pubmed/27843318
http://dx.doi.org/10.2147/NDT.S119247
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