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LETTER TO EDITOR
Year : 2014  |  Volume : 62  |  Issue : 6  |  Page : 711

Vertebral artery dissection and stroke after scuba diving


1 Department of Neurology, Interventional Radiology and Neuroradiology, Wroclaw Medical University, Wroclaw, Poland
2 Department of General Radiology, Interventional Radiology and Neuroradiology, Wroclaw Medical University, Wroclaw, Poland

Date of Submission24-Aug-2014
Date of Decision25-Aug-2014
Date of Acceptance09-Oct-2014
Date of Web Publication16-Jan-2015

Correspondence Address:
Justyna Chojdak-Lukasiewicz
Department of Neurology, Interventional Radiology and Neuroradiology, Wroclaw Medical University, Wroclaw
Poland
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.149455

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How to cite this article:
Chojdak-Lukasiewicz J, Dziadkowiak E, Bladowska J, Paradowski B. Vertebral artery dissection and stroke after scuba diving. Neurol India 2014;62:711

How to cite this URL:
Chojdak-Lukasiewicz J, Dziadkowiak E, Bladowska J, Paradowski B. Vertebral artery dissection and stroke after scuba diving. Neurol India [serial online] 2014 [cited 2019 Aug 23];62:711. Available from: http://www.neurologyindia.com/text.asp?2014/62/6/711/149455


Sir,

A 27-year-old man without past medical history developed vertigo and gait imbalance two hours after diving in cold water. The magnetic resonance imaging revealed ischemic lesion in the right side of medulla oblongata in the area of right posterior inferior artery (PICA). Computerized tomography-angiography (CTA) showed right vertebral artery (VA) dissection [Figure 1]a and b. Six months later patient had no symptoms and the neurological examination was normal. The follow-up magnetic resonance examination showed partial regression of the previous ischemic lesion and the CTA revealed normal right VA [Figure 1]c and d. The association between scuba diving and cerebral arterial dissection is known but rare. [1],[2]
Figure 1: Brain MR shows an ischemic lesion (arrow) in the right side of the medulla oblongata (a). CT angiography (b), reveals dissection of the right vertebral artery (VA) at the level of C2-C3. The follow-up MR (c) Regression of the lesion, the CT angiography (d) Demonstrates the normal right VA

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  References Top

1.
Konno K, Kurita H, Ito N, Shiokawa Y, Saito I. Extracranial vertebral artery dissection caused by scuba diving. J Neurol 2001;248:816-7.  Back to cited text no. 1
    
2.
Brajkovic S, Riboldi G, Govoni A, Corti S, Bresolin N, Comi GP. Growing evidence about the relationship between vessel dissection and scuba diving. Case Rep Neurol 2013;12:155-61.  Back to cited text no. 2
    


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