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Spontaneous vertebral artery dissection mimicking acute vertigo: Case report

A patient with acute vertigo, and normal findings on neurologic examination, was found to have vertebral artery dissection (VAD). This case shows that the clinical picture of VAD can mimic vertigo of labyrinthine (ic, peripheral) origin.

KEY WORDS - chiropractic manipulation, vertebral artery dissection, vertebrobasilar system, vertigo.

INTRODUCTION

Vertebral artery dissection (VAD) is an uncommon disorder in which blood finds its way into the wall of the artery, probably through a tear in the endothelial surface, causing brain ischemia or subarachnoid hemorrhage.1 In most patients, symptoms and signs develop gradually within hours to days. These include prominent headache, typically ...

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