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Neurogenic pulmonary oedema secondary to vertebral artery dissection while playing tennis
  1. Manaf Aljishi,
  2. Sisira Jayathissa
  1. Department of Internal Medicine, Hutt Valley District Health Board, Lower Hutt, New Zealand
  1. Correspondence to Dr Manaf Aljishi, Manaf.aljishi{at}


We present a case of a patient who developed vertebral artery dissection (VAD) while playing tennis and presented with neurogenic pulmonary oedema. The case highlights two important points: acute pulmonary oedema as an unusual presenting feature of VAD and VAD, an important cause of stroke in young people, as being associated with playing low-impact sports such as tennis. These associations, independent of each other, are under-recognised and can lead to a delay in diagnosis.

  • stroke
  • neurological injury
  • neuroimaging
  • trauma cns /pns

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  • Contributors MA summarised the case and investigations and wrote up most of the case report and literature review. The consent was taken by him. SJ looked after the patient and diagnosed her and came up with the idea of the case report. He provided guidance on how it should be written, what points to highlight and did the revision and edition of the text.

  • Funding This research received no specific grant 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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