Abstract
Here we describe the case of a young woman with a late diagnosis of vertebral artery dissection and midbrain ischemic lesion after minor post traumatic injury. Doppler ultrasonography was used as the first diagnostic examination to evaluate the dissection. We present this unusual but not rare case related to the frequent events of cervical distraction after car accident in order to better understand the clinical approach the sensitivity Doppler ultrasonography in post-traumatic cervical distorsion.
Highlights
We describe the case of a young woman with a late diagnosis of vertebral artery dissection and midbrain ischemic lesion after minor post traumatic injury
Traumatic dissection occurs in approximately 1% of all patients with blunt injury mechanisms, and is frequently initially unrecognized
Cervical artery dissection has become increasingly recognized as an important cause of posterior circulation stroke in the young
Summary
We describe the case of a young woman with a late diagnosis of vertebral artery dissection and midbrain ischemic lesion after minor post traumatic injury. The peculiarity of this case is that minor cervical injury produced severe vertebral dissection and that Doppler ultrasonography is as sensitive and specific than CT angiography suggesting its possible use in routine diagnostic artery dissection’s protocol.
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