Abstract
Spinal manifestations of vertebral artery dissection (VAD) are rare events and are typically symptomatic with neck pain and ischemic brain injury. We report a patient presenting with unusual peripheral paresis of the right upper limb due to an intramural hematoma of the right vertebral artery with local compression of C5 and C6 as the cause of cervical radiculopathy. These symptoms completely resolved after anticoagulation and physical therapy.
Highlights
A 51-year-old women presented with a two-weeks history of progressive pain and weakness of her right arm
The patient had noticed a weakness of elevation and flexion of her right upper arm
A cervical spine MRI scan displayed mild protrusion of the disc between the fifth and sixth cervical vertebrae resulting in a mild compression of the right C6 root and a surgical intervention due to progressive and substantial weakness was considered
Summary
A 51-year-old women presented with a two-weeks history of progressive pain and weakness of her right arm. Ten days earlier an orthopaedic specialist had performed a chiropractic maneuver to resolve the pain radiating from the neck to the right upper arm without alleviation of the symptoms. The patient had noticed a weakness of elevation and flexion of her right upper arm.
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