Khalid A, Summerbell A, Jha P, Abdelhafiz A H
Stroke, Rotherham General Hospital, Rotherham, UK.
Geriatric Medicine Department, Rotherham General Hospital, Rotherham, UK.
J R Coll Physicians Edinb. 2024 Dec;54(4):298-303. doi: 10.1177/14782715241290309. Epub 2024 Oct 10.
Spontaneous vertebral artery dissection (VAD) is common after minor neck trauma or abrupt neck manipulation, which may result in stroke. However, violent cough is a less recognised cause of VAD. Only a few cases are reported in the literature. We review the literature and report a case of a 62-year-old man who presented with a headache and neck pain following a period of intermittent coughing, which led to VAD and a cerebellar ischaemic stroke. He responded well to medical treatment and made a full recovery. Therefore, VAD should be considered in the differential diagnosis for patients presenting with neck pain and headache after episodes of violent coughing.
自发性椎动脉夹层（VAD）在轻微颈部创伤或颈部突然受外力作用后很常见，这可能会导致中风。然而，剧烈咳嗽是一种较少被认识到的VAD病因。文献中仅报道了少数病例。我们回顾了文献并报告了一例62岁男性病例，该患者在经历一段时间的间歇性咳嗽后出现头痛和颈部疼痛，进而导致VAD和小脑缺血性中风。他对药物治疗反应良好并完全康复。因此，对于剧烈咳嗽发作后出现颈部疼痛和头痛的患者，在鉴别诊断时应考虑VAD。
