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Báo cáo y học: " Vertebral artery dissection presenting as a Brown-Séquard syndrome: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Vertebral artery dissection presenting as a Brown-Séquard syndrome: a case report | Journal of Medical Case Reports BioMed Central Case report Vertebral artery dissection presenting as a Brown-Sequard syndrome a case report Saul Miller Dan Kottachchi and Eli Miller Open Access Address McMaster University Department of Internal Medicine Hamilton Ontario Canada Email Saul Miller - millersaul@gmail.com Dan Kottachchi - dankott@gmail.com Eli Miller - elimill@gmail.com Corresponding author Published 4 November 2009 Received 13 October 2008 Journal of Medical Case Reports 2009 3 107 doi 10.1186 1752-1947-3-107 Accepted 4 November 2009 This article is available from http www.jmedicalcasereports.com content 3 1 107 2009 Miller et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction 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. T o the best of our knowledge the clinical presentation of a Brown-Séquard syndrome with a vertebral artery dissection has been reported only once before. Case presentation 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. Conclusion 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 .