Unilaterales polyradikuläres Defizit von C4 bis C6 als Symptom einer spontanen extrakraniellen Vertebralisdissektion

Zusammenfassung

Ein Patient mit persistierenden Schulter-Nacken-Schmerzen rechts und wenige Tage später auftretender peripherer hochgradiger proximaler sensomotorischer Armparese mit Defiziten von C4 – C6 rechts ist zunächst verdächtig auf eine obere Armplexusläsion, nachrangig auf Radikulopathien z. B. verursacht durch degenerative HWS-Veränderungen. Im vorliegenden Fall wurde in der MR-Bildgebung als seltene Ursache eine extrakranielle ipsilaterale Vertebralisdissektion nachgewiesen.

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