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Case Reports
. 2018 Jan 26:2018:bcr2017221753.
doi: 10.1136/bcr-2017-221753.

Neurogenic pulmonary oedema secondary to vertebral artery dissection while playing tennis

Manaf Aljishi  1 , Sisira Jayathissa  1
Affiliations
Case Reports

Neurogenic pulmonary oedema secondary to vertebral artery dissection while playing tennis

Manaf Aljishi et al. BMJ Case Rep. .

Abstract

We present a case of a patient who developed vertebral artery dissection (VAD) while playing tennis and presented with neurogenic pulmonary oedema. The case highlights two important points: acute pulmonary oedema as an unusual presenting feature of VAD and VAD, an important cause of stroke in young people, as being associated with playing low-impact sports such as tennis. These associations, independent of each other, are under-recognised and can lead to a delay in diagnosis.

Keywords: neuroimaging; neurological injury; stroke; trauma cns /pns.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
A chest radiograph showing bilateral lung infiltrates without cardiomegaly.
Figure 2
Figure 2
A diffusion-weighted MRI showing right cerebellar diffusion restriction consistent with cerebellar infarct.
Figure 3
Figure 3
Non-contrast MR angiography showing occluded intracranial right vertebral artery (red arrow) and patent left one (green arrow).
Figure 4
Figure 4
Fat-suppressed axial T1 MRI images showing the normal flow void in the left vertebral artery (yellow arrow) and lack of flow void with a bright signal surrounding the right vertebral artery (red arrow), indicating a dissection of the right vertebral artery.
See this image and copyright information in PMC

References

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