Practice of Medicine

Claims Lesson

Vertebral Artery Dissection: An Under-Recognized Cause of Stroke in the Young

By Peter D. Steckl MD, FACEP, Georgette Samaritan, RN,

January 30, 2014

The Case

A 33 YOM with a one-week history of a worsening URI presented to the emergency department (ED) after sudden onset of a posterior headache immediately followed by extreme vertigo. These symptoms began 2 hours earlier following a particularly violent coughing episode in which he flexed his neck forward while lying supine in bed. He felt as though he might vomit, lurched from bed, and was …

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The information provided in this resource does not constitute legal, medical or any other professional advice, nor does it establish a standard of care. This resource has been created as an aid to you in your practice. The ultimate decision on how to use the information provided rests solely with you, the PolicyOwner.