Terminal right vertebral artery dissection - post neck manipulation

Case contributed by Chris O'Donnell
Diagnosis certain

Presentation

Worsening right neck pain and headache post chiropractic manipulation of the neck (10 days ago)

Patient Data

Age: 40 years
Gender: Female

Intimal flap in terminal right vertebral artery just beyond where it pierces the dura producing luminal narrowing although still patent - no infarction on DWI

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