We had done a young male for stroke like symptoms a while back and he was diagnosed with a vertebral dissection. He was also found to have a few acute ischemic areas in posterior part of the brain on diffusion. Well he seemed to be better when we just followed up on him and did a MRA on his neck. I remembered this case because he was so young and they suspected a neck munipulation from a chiropractor caused it. He was found to still have occluded bilateral vertebrals. It looks like he was lucky and superiorly in the cow portion he was feeding the posterior circulation from the anterior circulation.
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