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Chin Med J (Taipei) 1997;59:210-5.
1Division of Neurology, Department of Internal Medicine, and 2Department of Radiology, Veterans General Hospital-Kaohsiung, Kaohsiung, Taiwan, R.O.C.
This report concerns a patient suffering from a severe neck pain on the third day after a traffic accident. This condition was followed by a lateral medullary infarction on the next day. One week later, he was transferred to this hospital and dissection of the vertebral artery was disclosed. It should be emphasized that in case of acute cervical spine injury or severe neck pain after a major trauma, vertebral artery dissection should be considered, as its early diagnosis may have crucial therapeutic implications. In addition, the advantages of the combination of magnetic resonance imaging and magnetic resonance angiography as diagnostic tools-of-choice are emphasized.
[Chin Med J (Taipei) 1997;59:210-5.]
Keywords: magnetic resonance angiography, magnetic resonance imaging, vertebral artery dissection, Wallenberg's syndrome
Received: July 26, 1996.
Accepted: December 24, 1996.
Address reprint requests to:
Kuo-Hua Hung
Division of Neurology
Department of Internal Medicine
Veterans General Hospital-Kaohsiung
No. 386, Ta-Chung 1st Road
Kaohsiung, Taiwan, R.O.C.
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Copyright: 1997, Chinese Medical Association (Taipei)