Unilateral upper cervical posterior spinal artery syndrome following sneezing

A 35 year old man experienced severe transitory neck pain following a violent sneeze. This was followed by neurological symptoms and signs indicating a left sided upper cervical cord lesion. MRI showed an infarct at this site in the territory of the left posterior spinal artery. This discrete infarc...

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Veröffentlicht in:	Journal of neurology, neurosurgery and psychiatry neurosurgery and psychiatry, 1992-09, Vol.55 (9), p.841-843
Hauptverfasser:	Gutowski, N J, Murphy, R P, Beale, D J
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Aneurysm, Dissecting - complications Aneurysm, Dissecting - physiopathology Arteries - pathology Biological and medical sciences Functional Laterality - physiology Hemiplegia - diagnosis Hemiplegia - physiopathology Humans Infarction - diagnosis Infarction - physiopathology Intracranial Aneurysm - complications Intracranial Aneurysm - physiopathology Male Medical sciences Neurologic Examination Neurology Sneezing - physiology Spinal Cord - blood supply Syndrome Vascular diseases and vascular malformations of the nervous system Vertebral Artery - pathology
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Beschreibung
Zusammenfassung:	A 35 year old man experienced severe transitory neck pain following a violent sneeze. This was followed by neurological symptoms and signs indicating a left sided upper cervical cord lesion. MRI showed an infarct at this site in the territory of the left posterior spinal artery. This discrete infarct was probably due to partial left vertebral artery dissection secondary to sneezing.
ISSN:	0022-3050 1468-330X
DOI:	10.1136/jnnp.55.9.841