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Vertebral artery dissection presenting as neuralgic amyotrophy
  1. S Berroir1,
  2. M Sarazin2,
  3. P Amarenco2
  1. 1Department of Neurology, Lariboisiére Hospital, 2 Rue Ambroise Paré, 75010 Paris, France
  2. 2Department of Neurology and Stroke Center, Bichat Hospital and Formation de Recherche en Neurologie Vasculaire (Association Claude Bernard), Paris, France
  1. Correspondence to:
 Dr S Berroir, Department of Neurology, Hôpital Lariboisiére, 2 Rue Ambroise Paré, 75010 Paris, France;
 stephane.berroir{at}lrb.ap-hop-paris.fr

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Vertebral artery dissection usually presents with neck, occipital, or shoulder pain along with symptoms of ischaemic stroke in the posterior circulation. Isolated pain, asymptomatic cases, or misleading presentation mimicking migraine or myocardial infarction have been seldom reported. Peripheral upper limb deficit1–3 or isolated radicular neuralgia4 due to vertebral artery dissection have also been reported. However, a clinical presentation mimicking a Parsonage-Turner syndrome has not been reported.

A 40 year old man had a rapidly increasing, intense left scapular, and left cervical pain followed by tactile, temperature, and pain sensory loss over the left shoulder and the neck. On the third day, he had gradually increasing proximal weakness of the upper limb while pain progressively improved within a week. At that time, the clinical diagnosis was typical of a Parsonage-Turner syndrome and the patient was on non-steroidal anti-inflammatory treatment. On the 10th day, …

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