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Vertebral artery dissection: An unusual cause of transient ataxia, vertigo, and sensorineural hearing loss

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December 20, 2013
by Leila L. Touil, MBChB; Glen James Watson, FRCS, DOHNS; Michael Small, FRCS


We present the case of a 33-year-old man who was admitted with intermittent ataxia, vertigo, and sensorineural hearing loss as a result of a vertebral artery dissection following minor neck trauma. Our aim is to highlight the importance of obtaining magnetic resonance imaging, magnetic resonance angiography, and/or duplex color-flow imaging when presented with a case of fluctuating vertigo and sensorineural hearing loss with side-specific ataxia. Likewise, it is important to obtain the input of neurologists to optimize a patient's prognosis and minimize long-term sequelae.

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