A patient with acute vertigo, and normal findings on neurologic examination, was found to have vertebral artery dissection (VAD). This case shows that the clinical picture of VAD can mimic vertigo of labyrinthine (ie, peripheral) origin.
CaplanLRZarinsCKHemmatiM. Spontaneous dissection of the extracranial vertebral arteries. Stroke1985; 16: 1030–8.
8.
BostromKLiliequistB. Primary dissecting aneurysm of the extracranial part of the internal carotid and vertebral arteries: a report of three cases. Neurology1967; 17: 179–86.
9.
SchellhasKPLatchawREWendungLRGoldLHA. Vertebrobasilar injuries following cervical manipulation. JAMA1980; 244: 1450–3.
10.
TramoMJHainlineBPetitoFLeeBCaronnaJ. Vertebral artery injury and cerebellar stroke while swimming: case report. Stroke1985; 16: 1039–42.
11.
DisherMJTelianSAKeminkJL. Evaluation of acute vertigo: unusual lesions imitating vestibular neuritis. Am J Otol1991; 12: 227–31.
12.
BradacGBKaernbackABolk-WeischedelDFinckGA. Spontaneous dissecting aneurysm of cervical cerebral arteries. Report of six cases and review of the literature. Neuroradiology1981; 21: 149–54.
13.
GoldsteinSJ. Dissecting hematoma of the cervical vertebral artery. Case report. J Neurosurg1982; 56: 451–4.
14.
KatirjiMBReinmuthOMLatchawRE. Stroke due to vertebral artery injury. Arch Neurol1985; 42: 242–8.
15.
OsbornAG. Diagnostic neuroradiology. St Louis, Mo: Mosby, 1994.
16.
HugenholtzHPokrupaRMontpetitVJANelsonRRichardMT. Spontaneous dissecting aneurysm of the extracranial vertebral artery. Neurosurgery1982; 10: 96–9.
17.
ChirasJMacianoSMolinaJ VegaTouboulJPoirierBBoriesJ. Spontaneous dissecting aneurysm of the extracranial vertebral artery (20 cases). Neuroradiology1985; 27: 327–33.
18.
StromeSEHartshornDOCarrollWRShepardNDisherMJ. Otologic manifestations of vertebral artery dissection. Otolaryngol Head Neck Surg1997; 116: 262–4.
19.
DuncanGWPatierSWFisherCM. Acute cerebellar infarction in the PICA territory. Arch Neurol1975; 32: 364–8.
