• Eur J Emerg Med · Jun 2000

    Case Reports

    Neck pain after minor neck trauma--is it always neck sprain?

    • C L Chong and S B Ooi.
    • Emergency Medicine Department, National University Hospital, Singapore.
    • Eur J Emerg Med. 2000 Jun 1; 7 (2): 147-9.

    AbstractWe report a patient who had headache and neck pain after whiplash injury and subsequently developed cerebellar infarction due to vertebral artery dissection. This patient's pain was out of proportion to his apparent injury and it was a clue to the final diagnosis. Gross motor examination for cord injury may not be adequate for patients with minor neck trauma. Detailed cranial nerve and cerebellar examination should be performed for detection of circulatory insufficiency. Discharge advice for patients should also include that of stroke or transient ischaemic attack.

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