VERTEBRAL ARTERY DISSECTION FROM NECK FLEXION DURING PAROXYSMAL COUGHING

被引：28

作者：

HERR, RD

CALL, G

BANKS, D

机构：

[1] Division of Emergency Medicine, Department of Surgery, University of Utah Medical School, Salt Lake City

[2] Division of Neurology, Department of Medicine, University of Utah Medical School, Salt Lake City

来源：

ANNALS OF EMERGENCY MEDICINE | 1992年 / 21卷 / 01期

关键词：

DISSECTION; VERTEBRAL ARTERY;

D O I：

10.1016/S0196-0644(05)82248-6

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Vertebral artery dissection has a characteristic presentation that should be considered when symptoms are preceded by any trauma that causes neck movement. We present the case of a man with vertebral artery dissection following severe coughing that presented as a postero-inferior cerebellar artery territory stroke. The patient was anti-coagulated, and his neurologic deficits were partially resolved. The mechanism and presentation of vertebral artery dissection are discussed with an emphasis on early detection.

引用

页码：88 / 91

页数：4

共 18 条

[1] Phillips, Maloney, Gray, Pure motor stroke due to vertebral artery dissection, Can J Neurol Sci, 16, pp. 348-351, (1989)
[2] Cellerier, Georget, Dissection of the vertebral arteries after manipulation of the cervical spine: Apropos of a case, J Radiol, 65, pp. 191-196, (1984)
[3] Mas, Bousser, Hasboun, Et al., Extracranial vertebral artery dissections: A review of 13 cases, Stroke, 18, pp. 1037-1047, (1987)
[4] Pryse-Phillips, Infarction of the medulla and cervical cord after fitness exercises, Stroke, 20, pp. 292-294, (1989)
[5] Leys, Lesoin, Pruvo, Et al., Bilateral spontaneous dissection of extracranial vertebral arteries, J Neurol, 234, pp. 237-240, (1987)
[6] Traflet, Babaria, Bell, Et al., Vertebral artery dissection after rapid head turning, Am J Neurol Radiol, 10, pp. 650-651, (1989)
[7] Mokri, Houser, Sandok, Et al., Spontaneous dissections of the vertebral arteries, Neurology, 38, pp. 880-885, (1988)
[8] Brown, Tatlow, Radiographic studies of the vertebral arteries in cadavers: Effects of position and traction on the head, Radiology, 81, pp. 80-81, (1963)
[9] Barton, Margolis, Rotational obstruction on the vertebral artery at the atlantoaxial joint, Neuroradiology, 9, pp. 117-120, (1975)
[10] Moore, Clinically Oriented Anatomy, (1985)

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