AI Article Synopsis
- The study reports on two patients with posterior spinal artery syndrome (PSAS) resulting from vertebral artery dissection, presenting symptoms like sudden neck pain and walking instability.
- Both patients exhibited neurological issues, including sensory loss and muscle weakness, with imaging confirming the dissection.
- Following antiplatelet therapy and physiotherapy, both patients showed good recovery, and the researchers reviewed past PSAS cases to enhance awareness of this uncommon condition.
Article Abstract
Herein, we described 2 patients with posterior spinal artery syndrome (PSAS) caused by vertebral artery dissection. The patients complained of sudden neck pain or walking instability. Neurological examination revealed sensory loss, muscle weakness, and sensory ataxia. Angiography showed double lumen sign or intimal flap in the vertebral artery. T2-weighted imaging and diffusion-weighted imaging of MRI showed a hyperintense lesion in the dorsal side of the cervical spinal cord at different times after onset. Both patients had good outcome after antiplatelet therapy and physiotherapy. A review of previously reported PSAS cases was also conducted in order to improve the understanding and awareness of this rare myelopathy.
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| http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2019.104601 | DOI Listing |
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