Amir Ghaffarzad
1, Reza Javadrashid
2, Elyar Sadeghi-Hokmabadi
3, Reza Jamal Arvanaghi
4, Hassan Soleimanpour
5*, Samad EJ Golzari
6,71 Emergency Medicine Research Team, Tabriz University of Medical Sciences, Tabriz, Iran
2 Department of Radiology, Imam Reza Teaching Center, Tabriz University of Medical Sciences, Tabriz, Iran
3 Neurosciences Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
4 Students’ Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran
5 Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
6 Research Center for Evidence Based Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
7 Road Traffic Injury Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
Abstract
Vertebral artery occlusion (VAO) may result from closed head or neck trauma and can be lifethreatening
due to brain-stem and cerebellar infarction. CT angiography is recommended as a
screening diagnostic tool in selected patients after blunt cervical trauma. A 24-year-old woman
was admitted to our emergency department with left hemiplegia two days after motor vehicle
collision. Final diagnosis of occlusion of the right vertebral artery was made in CT angiography.
She was treated with anticoagulant for 4 days then discharged with 5/5 muscle forces. She was
advised to continue warfarin and atorvastatin for her after discharge.