P 118 Unilateral polyradicular deficit from C4 to C6 as a symptom of a spontaneous extracranial vertebral artery dissection.

A 47-year old man with shoulder and neck pain of the right side presented sensory deficits and peripheral paresis of the proximal arm. The rare cause was a spontaneous extracranial vertebral artery dissection affecting C4 to C6 nerve roots diagnosed by cervical magnetic resonance imaging (MRI) and angiography. The treatment based on anticoagulation and physical therapy.

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