Summary
Self-limiting episodes of weakness of the left upper limb and dysphasia in a young man
Concepción Aramendia L, Llorens Soriano P, López-Andújar Aguiriano L, Martínez Beloqui E
Affiliation of the authors
Unidad de Neurorradiología. Servicio de Urgencias-UCE-UHD. Hospital General Universitario. Alicante, España.
DOI
Quote
Concepción Aramendia L, Llorens Soriano P, López-Andújar Aguiriano L, Martínez Beloqui E. Self-limiting episodes of weakness of the left upper limb and dysphasia in a young man. Emergencias. 2009;21:65-7
Summary
A 28-year-old man came to the emergency department of a tertiary hospital after
suffering several brief episodes of focal neurological deficit, with complete recovery, and
various hour-long episodes of diplopia. There was no relevant past personal or family
medical history. He reported feeling neck and right occipital pain that had developed
after sleeping in a car during a Formula 1 Grand Prix event 2 weeks earlier, and had
suffered repeated coughing fits over the previous weeks. There were no abnormal
findings on clinical examination and the electrocardiogram, chest radiograph, and
cranial computed tomography were normal. Magnetic resonance imaging was
diagnostic, revealing dissection of the distal segment (V3) of the right vertebral artery.
We discuss the utility of magnetic resonance imaging requested from the emergency
room for neurological disorders.