Journal - Canadian Dental Association = Journal de l'Association dentaire canadienne
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Lemierre syndrome, which can result from a recent oropharyngeal or odontogenic infection, is characterized by clinical or radiographic signs of thrombosis of the internal jugular vein, distant infected emboli and the presence of anaerobic pathogens, usually Fusobacterium necrophorum. The septic emboli resulting from the infected thrombophlebitis of the internal jugular vein give the syndrome its constellation of central nervous system, pulmonary and many other manifestations including septic shock. This condition was so rare that, historically, it became known as the "forgotten disease," but an increasing frequency of reports indicates that Lemierre syndrome may not be so uncommon.
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Review Case Reports
Dental procedures and stroke: a case of vertebral artery dissection.
As vertebral artery dissections may cause stroke, they must be identified and treated promptly. The association of arterial dissection with dental procedures has been previously observed. In this article, we report on a patient presenting with posterior circulation stroke secondary to vertebral artery dissection following a dental procedure. The clinical course, radiologic findings and management are described and the literature regarding vertebral dissections is reviewed.