Aljishi Manaf, Jayathissa Sisira
Department of Internal Medicine, Hutt Valley District Health Board, Lower Hutt, New Zealand.
BMJ Case Rep. 2018 Jan 26;2018:bcr-2017-221753. doi: 10.1136/bcr-2017-221753.
We present a case of a patient who developed vertebral artery dissection (VAD) while playing tennis and presented with neurogenic pulmonary oedema. The case highlights two important points: acute pulmonary oedema as an unusual presenting feature of VAD and VAD, an important cause of stroke in young people, as being associated with playing low-impact sports such as tennis. These associations, independent of each other, are under-recognised and can lead to a delay in diagnosis.
我们报告一例患者，该患者在打网球时发生椎动脉夹层（VAD），并出现神经源性肺水肿。该病例突出了两个要点：急性肺水肿作为VAD的一种不寻常表现特征，以及VAD（年轻人中风的一个重要原因）与打网球等低冲击力运动有关。这些相互独立的关联未得到充分认识，可能导致诊断延迟。
