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Neurology 2000;55:304-306
© 2000 American Academy of Neurology
Brief Communications

Spinal manifestations of vertebral artery dissection

B. Crum, MD, B. Mokri, MD and J. Fulgham, MD

From the Department of Neurology, Mayo Clinic, Rochester, MN.

Address correspondence and reprint requests to Dr. Bahram Mokri, Department of Neurology, Mayo Clinic, 200 SW First Street, Rochester, MN 55905; e-mail: mokri.bahram{at}mayo.edu

Among 111 patients with vertebral artery dissection (VAD), two presented with spinal manifestations: one with a C5-C6 radiculopathy and the other with a cervical myelopathy. Of 13 previously reported cases of spinal manifestations of VAD (mean age 37 years), ischemic cervical myelopathy was noted in seven; cervical radiculopathy, often at C5-C6 and primarily motor, in five; and hemorrhagic complications in one, with chest pain being part of the presentation.




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