{"pk":1301,"title":"Cerebellar Infarction from a Vertebral Artery Dissection after Blunt Chest Injury: A Case Report","subtitle":null,"abstract":"Introduction: Traumatic vertebral artery dissections resulting in stroke are relatively rare occurrences, especially in the absence of classic physical examination findings.


Case Report: We present the case of a 30-year-old male with chest pain following a car axle falling onto his chest while trying to change a tire. He was discharged from the emergency department after having a negative workup for thoracic injury. Six hours later, the patient returned with headache and was found to have a cerebellar stroke secondary to vertebral artery dissection. After hospitalization, the patient was discharged home without any neurological deficits.


Conclusion: As they are usually asymptomatic, up to 80% of patients with blunt cerebrovascular injury will have delayed or missed diagnoses. Given the increased awareness of vascular injuries and their high morbidity, physicians should maintain a high index of suspicion for this diagnosis.

","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Cerebrovascular injury"},{"word":"blunt chest trauma"},{"word":"vertebral artery dissection"},{"word":"Cerebellar infarction"},{"word":"case report"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2v81b392","frozenauthors":[{"first_name":"Daniella","middle_name":"","last_name":"Lamour","name_suffix":"","institution":"Florida Atlantic University, Charles E. Schmidt College of Medicine, Department of Emergency Medicine, Boca Raton, Florida; Bethesda Hospital East, Department of Emergency Medicine, Boynton Beach, Florida; Delray Medical Center, Department of Emergency Medicine, Delray Beach, Florida","department":""},{"first_name":"Joshua","middle_name":"J.","last_name":"Solano","name_suffix":"","institution":"Florida Atlantic University, Charles E. Schmidt College of Medicine, Department of Emergency Medicine, Boca Raton, Florida; Bethesda Hospital East, Department of Emergency Medicine, Boynton Beach, Florida; Delray Medical Center, Department of Emergency Medicine, Delray Beach, Florida","department":""},{"first_name":"Jovana","middle_name":"","last_name":"Rutherford","name_suffix":"","institution":"St. George’s University School of Medicine, Grenada, West Indies","department":""},{"first_name":"Scott","middle_name":"M.","last_name":"Alter","name_suffix":"","institution":"Florida Atlantic University, Charles E. Schmidt College of Medicine, Department of Emergency Medicine, Boca Raton, Florida; Bethesda Hospital East, Department of Emergency Medicine, Boynton Beach, Florida; Delray Medical Center, Department of Emergency Medicine, Delray Beach, Florida","department":""}],"date_submitted":"2023-04-12T08:49:14.870000+05:30","date_accepted":"2023-08-03T22:48:03.055000+05:30","date_published":"2023-10-20T18:30:00+05:30","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1301/galley/2496/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1301/galley/1158/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1301/galley/2496/download/"}]}