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Early detection of vertebral artery dissection
  1. Alice Morag MacArthur and
  2. Syed Mehdi
  1. Acute Medicine, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, UK
  1. Correspondence to Dr Alice Morag MacArthur, alice.macarthur{at}


A 36-year-old female patient presented to hospital with a 1-week history of occipital headache. It was sudden onset following a fall into a swimming pool. Examination was unremarkable. CT angiogram brain scan showed right vertebral artery dissection with a 1 cm dissection flap and a 3 mm left middle cerebral artery aneurysm. She was discharged on aspirin, with outpatient neurology clinic follow-up.

  • medical management
  • neurology
  • neuroimaging
  • headache (including migraines)

Statistics from


  • Contributors SM was the consultant on acute take. He formulated the initial management plan and proof read the case report. AM was the Foundation Doctor on the post-take round and wrote up the case report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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