Spontaneous and traumatic dissection of vertebral arteries can cause ischemic or hemorrhagic strokes in young individuals. Clinical features often propitiate a challenging diagnosis because initial presentations are variable, from asymptomatic till very ominous conditions. Therefore, an elevated index of suspicion and use of imaging resources might favor early diagnosis and prevention of serious consequences. We report a healthy 21-year-old man who had a motorcycle accident about fourty days before the imaging confirmation of vertebral artery dissection and thrombosis of the basilar artery. The patient successfully underwent non invasive management, with use of acetylsalicylic acid.
Vitorino Modesto dos Santos, Ursula Valeska Poti Araújo Lima, Renata Faria Silva, Silvana Alves Gomma de Azevedo, Melissa Gebrim Ribeiro, Daniela Gomes Gebrim A 21-year-old man with late Wallenberg syndrome after a motorcycle trauma // Russian Open Medical Journal, Vol. 4, Issue 3, 2015, pp. 0-0