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Journal of Craniovertebral Junction and Spine
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Year : 2015  |  Volume : 6  |  Issue : 4  |  Page : 206-208

Spontaneous vertebral artery dissection: Posterior circulation stroke

1 Department of Radio Diagnosis, Lilavati Hospital and Research Center, Mumbai, Maharashtra, India
2 Department of Radio Diagnosis, Lilavati Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Dr. Manoj Deshmukh
Department of Radio diagnosis, Lilavati Hospital and Research Center, Bandra Reclamation Bandra (West), Mumbai - 400 050, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-8237.167883

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Spontaneous vertebral artery dissection (VAD) is relatively rare but an important cause of posterior circulation stroke. A 46-year-male complaining of sudden onset headache, neck pain with right-sided neuro deficit in the form of hemiparesis was evaluated by contrast magnetic resonance imaging and dual-energy computed tomography (CT) and brain neck angiography which revealed a short segment extracranial left-sided VAD, associated with acute infarct in the left occipital region. The patient was managed conservatively and followed up for 6 months. Follow-up CT angiography after a period of 6 months revealed the near complete resolution of the arterial dissection in left vertebral artery.

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