Vertebral artery dissection after direct laryngoscopy: case report and literature review

2008 ◽  
Vol 123 (2) ◽  
Author(s):  
A J M Campbell-Lloyd ◽  
J Kanagalingam ◽  
H Bandi ◽  
S Coman

AbstractObjective:We report a case of vertebral artery dissection following direct laryngoscopy, and we provide an update on current knowledge regarding this condition and its relationship to movements of the neck.Method:A case report and review of the world literature are presented.Results:Vertebral artery dissection is an uncommon event leading to stroke. It has been associated with many risk factors, particularly extreme movement of the cervical spine. The pathogenesis of the condition and the true aetiological significance of neck movement are not known.Conclusion:To our knowledge, we present the first case of vertebral artery dissection following direct laryngoscopy. We highlight the need for caution when considering neck pain in patients after direct laryngoscopy.

2021 ◽  
Vol 5 (3) ◽  
Author(s):  
Lynsey Hewitson ◽  
Chih Wong ◽  
Shahid Aziz ◽  
Amardeep Dastidar

Abstract Background Spontaneous coronary artery dissection (SCAD) is an increasingly recognized and important cause of acute myocardial infarction, particularly in women under 50, often with minimal risk factors. Many patients have underlying arteriopathy, most commonly in the form of fibromuscular dysplasia. Case summary A 38-year-old woman presented to the hospital with chest pain and elevated high-sensitivity Troponin. Invasive coronary angiography demonstrated SCAD of the left anterior descending artery. The same day the patient developed a severe progressive headache and subsequent imaging revealed a left vertebral artery dissection. She was managed conservatively with optimal medical therapy and was successfully discharged from hospital on Day 7. Discussion To our knowledge, this is the first case report of simultaneous spontaneous coronary and vertebral artery dissections not related to pregnancy. It highlights not only the importance of recognizing and accurately diagnosing SCAD, but also of appreciating the possibility of underlying arteriopathy: this is paramount to ensuring appropriate investigations, follow-up and assessment of any unexplained symptoms in this patient group.


PM&R ◽  
2009 ◽  
Vol 1 ◽  
pp. S285-S285
Author(s):  
Jennifer Chung ◽  
Alex Moroz ◽  
Ira Rashbaum ◽  
Neha Sahni

2013 ◽  
Vol 5 (2) ◽  
pp. 125-129 ◽  
Author(s):  
Faisal Mohammad Amin ◽  
Vibeke Andrée Larsen ◽  
Peer Tfelt-Hansen

2006 ◽  
Vol 130 (4) ◽  
pp. 533-535 ◽  
Author(s):  
Madalina Tuluc ◽  
Daniel Brown ◽  
Bruce Goldman

Abstract Subarachnoid hemorrhage represents a rare event in pregnancy with a high mortality rate. We present the case of a 39-year-old pregnant woman who developed right vertebral artery dissection with subsequent massive subarachnoid hemorrhage with fatal outcome. The macroscopic and microscopic autopsy findings are described. A review of the literature with a discussion of the varied predisposing factors for vertebral artery dissection and subarachnoid hemorrhage and the rarity of these events in pregnancy is provided.


2020 ◽  
Vol 30 (10) ◽  
pp. 4116-4118
Author(s):  
Seyed Nooredin Daryabari ◽  
Fahimeh Haji Akhoundi ◽  
Ebrahim Aghajani ◽  
Mohammad Kermansaravi

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