| Popis: |
Introduction: Vertebral artery dissections are responsible for 2% of all ischemic strokes and correspond to more than 25% of events in young adults. Its main etiologies, such as spontaneous and traumatic, which compromise the structural integrity of the arterial wall, allowing blood to accumulate between the layers of the vessel as an intramural hematoma, which can progress to stenosis or luminal occlusion in stroke. Case report: We attended a woman, 29 years old, who suffered a mild trauma in the cervical region during weight training in the gym presenting symptoms hours after the accident, a sudden headache of strong intensity irradiated to cervical, which evolves to a picture of cerebral ischemia characterized by changes in balance and coordination. The diagnosis was confirmed through complementary examinations of cranial tomography and angiotomography and treatment was composed by a combination of aspirin and clopidogrel with favorable evolution of the condition. Conclusion: The report illustrates that the change in cerebral circulation due to ischemia can occur either suddenly or even days after the injury, and it is likely that many cases classified as “spontaneous” without identifying the cause, may have been caused by minor trauma. In general, there is a good prognosis if early recognition and correct management. |
