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vertigo
May 15, 2014 0:46:43 GMT -5
Post by pbruss on May 15, 2014 0:46:43 GMT -5
37 yo female who smokes. no other PMH, no meds. has vertigo and mild posterior headache for 2 days which she woke up with. vital signs all normal. exam is all normal with the exception of mild ataxia when she walks. ct brain is normal. attached is CTA. can you see the abnormality? Attachments:
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vertigo
May 15, 2014 8:10:13 GMT -5
Post by mcclain on May 15, 2014 8:10:13 GMT -5
Basilar artery dissection?
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vertigo
May 15, 2014 13:38:35 GMT -5
via mobile
Post by gigantor on May 15, 2014 13:38:35 GMT -5
What Emily said.
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Post by pbruss on May 15, 2014 19:18:13 GMT -5
yes. we see a lot of vertigo in the ER. My one peice of advice is ALWAYS have the patient walk and look for ataxia. that was this ladys only abnormality on exam.
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vertigo
May 19, 2014 21:29:19 GMT -5
Post by kemple on May 19, 2014 21:29:19 GMT -5
Good case.
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