dissection of the vertebral artery is an important but rare cause of cerebrovascular accidents. here we report a 48-year-old man with toothache since 4 days before who presented to the emergency department with neck pain and final diagnosis of dissecting right vertebral artery pseudoaneurysm. to our knowledge, this maybe the first report of odontogenic pain as the first manifestation of vertebr...

A healthy 32-year-old female presented with NSTEMI 2 weeks following an uneventful pregnancy and caesarian section. Emergent cardiac catheterization demonstrated a non-stentable coronary artery dissection (Figs. 1 and 2, and Videos 1 and 2). She was treated with CABG (LIMA to LAD) and made an uneventful post-operative recovery. Fig. 1. RAO angiographic view showing the dissected LAD with dilute...

BACKGROUND Blunt cardiac trauma encompasses a wide range of clinical entities, including myocardial contusion, cardiac rupture, valve avulsion, pericardial injuries, arrhythmia, and even myocardial infarction. Acute myocardial infarction due to coronary artery dissection after blunt chest trauma is rare and may be life threatening. Differential diagnosis of acute myocardial infarction from card...

Holbrook C, et al. BMJ Case Rep 2017. doi:10.1136/bcr-2017-222130 Description A 41-year-old gravida 1 para 1 female with a medical history of hypertension and panic attacks presented to the emergency room with crushing chest pain radiating to her back for 2–3 hours. There was associated shortness of breath and anxiety but no other complaints. Initial evaluation confirmed normal vital signs as w...