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Case Reports
Headache and transient visual loss as the only presenting symptoms of vertebral artery dissection: a case report.
- Camille Yvon, Ashok Adams, Duncan McLauchlan, and Conor Ramsden.
- Institute of Ophthalmology, University College London, London, UK.
- J Med Case Rep. 2016 Apr 25; 10 (1): 105.
BackgroundVertebral artery dissection is an important cause of stroke in the young and diagnosis is often challenging as symptoms are varied and subtle.Case PresentationA 33-year-old, previously healthy, white male office worker was stretching his neck when he developed sudden left-sided visual loss lasting 5 minutes associated with headache. He had no other neurological symptoms or signs. He was investigated with a computed tomography angiogram, which revealed a left vertebral artery dissection with a right posterior cerebral artery vascular occlusion.ConclusionsWe describe an atypical case of vertebral artery dissection presenting with sudden transient visual disturbance without neurological signs in an otherwise healthy man. This is a rare but potentially fatal condition that can result in thromboembolic infarction. A high index of suspicion is crucial to make an early diagnosis and avoid devastating neurological outcomes.
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