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Stroke Research and Treatment
Volume 2010 (2010), Article ID 915484, 3 pages
http://dx.doi.org/10.4061/2010/915484
Case Report

An Unusual Cause of Vertebral Artery Dissection: Esophagogastroduodenoscopy

1Section of Cerebrovascular Disease and Neurological Critical Care, Department of Neurology and Rehabilitation, College of Medicine at Chicago, University of Illinois, 912 S. Wood Street Room 855N, Chicago, IL 60612, USA
2Section of Cerebrovascular Disease and Neurological Critical Care, Department of Neurology and Rehabilitation, Center for Stroke Research, College of Medicine at Chicago, University of Illinois, 912 S. Wood Street Room 855N, Chicago, IL 60612, USA

Received 22 April 2010; Accepted 14 July 2010

Academic Editor: Scott E. Kasner

Copyright © 2010 Fernando D. Testai and Philip B. Gorelick. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Brain-supplying arterial dissection is considered one of the most common vascular causes of stroke in younger patients. Dissections are usually preceded by trauma or mechanical stress; the vascular stressor may be trivial as this condition has been described in association with manipulation and stretching the neck. Here we describe a case of vertebral artery dissection and stroke following esophagogastroduodenoscopy. This case highlights a potentially serious complication that may occur after procedures that require hyperextension of the neck.