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| LETTER TO EDITOR |
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| Year : 2014 | Volume
: 62
| Issue : 6 | Page : 711 |
Vertebral artery dissection and stroke after scuba diving
Justyna Chojdak-Lukasiewicz1, Edyta Dziadkowiak1, Joanna Bladowska2, Boguslaw Paradowski1
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 Submission | 24-Aug-2014 |
| Date of Decision | 25-Aug-2014 |
| Date of Acceptance | 09-Oct-2014 |
| Date of Web Publication | 16-Jan-2015 |
Correspondence Address:
Justyna Chojdak-Lukasiewicz
Department of Neurology, Interventional Radiology and Neuroradiology, Wroclaw Medical University, Wroclaw
Poland
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0028-3886.149455
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 |
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 | |  |
| 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.  |
| 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. |
[Figure 1]
| This article has been cited by | | 1 |
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| Ludwig Schlemm,Christian H Nolte,Stefan T Engelter,Matthias Endres,Martin Ebinger | | European Stroke Journal. 2017; 2(4): 335 | | [Pubmed] | [DOI] | | | 2 |
Cervical Artery Dissections: A Review |
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| Jennifer J. Robertson,Alex Koyfman | | The Journal of Emergency Medicine. 2016; 51(5): 508 | | [Pubmed] | [DOI] | |
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