A patient with Wallenberg’s syndrome induced by severe cough

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• 作者：Masahiro Nomura ; Seiji Kannuki ; Kazuyuki Kuwayama ; Yukio Kohyama ; Yoshinori Hayashi ; Erika Yamamoto ; Tadayoshi Kaji ; Kohzou Uehara ; Akiyoshi Nishikado ; Susumu Ito ; Yutaka Nakaya ; Sinji Nagahiro
• 关键词：Wallenberg syndrome ; cough ; MRI ; posterior inferior cerebellar artery
• 刊名：Journal of Clinical Neuroscience
• 出版年：2004
• 出版时间：February 2004
• 年：2004
• 卷：11
• 期：2
• 页码：179-182
• 全文大小：170 K

文摘

A 45-year-old man developed severe cough with cervical pain. The patient was unable to hold an upright position. The origin of the right posterior inferior cerebellar artery was not enhanced by angiography. MRI showed a high signal intensity string-like structure of the right vertebral artery. In young patients, Wallenberg’s syndrome related to mild head trauma has been reported. However, none of the previous studies related to vertebral arterial dissection was induced by severe cough. When cervical pain is present in young patients with severe cough, MRI should be performed to evaluate the possibility of vertebral arterial dissection.