| Neck pain and minor trauma: normal radiographs do not always exclude serious pathology. | |
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MedLine Citation:
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PMID: 18723722 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 37-year-old woman presented following a trampolining accident with neck pain and paraesthesia of the left arm. Cervical spine radiographs were normal and a provisional diagnosis of whiplash was made. Three hours later she developed rotational vertigo and then cerebellar signs. Magnetic resonance angiography and magnetic resonance imaging of the brain confirmed the diagnosis of vertebral artery dissection (VAD) with cerebellar embolic infarcts. She was anticoagulated and symptoms resolved over one week. VAD is a relatively common cause of posterior circulation stroke in young people. It usually presents following (often minor) trauma, with headache, neck pain, cerebellar, sensory and cranial nerve signs. However, it remains a diagnosis that is frequently missed or misdiagnosed. |
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Authors:
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T Ribbons; S Bell |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Emergency medicine journal : EMJ Volume: 25 ISSN: 1472-0213 ISO Abbreviation: Emerg Med J Publication Date: 2008 Sep |
Date Detail:
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Created Date: 2008-08-25 Completed Date: 2008-11-17 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100963089 Medline TA: Emerg Med J Country: England |
Other Details:
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Languages: eng Pagination: 609-10 Citation Subset: IM |
Affiliation:
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Accident and Emergency Department, Queen Alexandra Hospital, Southwick Hill Road, Cosham, Portsmouth, UK. tamsinribbons@doctors.org.uk |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Athletic Injuries / etiology, radiography* Cerebral Infarction / diagnosis*, etiology Diagnosis, Differential Emergencies Female Humans Magnetic Resonance Angiography Neck Injuries / etiology, radiography* Neck Pain / etiology, radiography* Paresthesia / etiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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