Only two reported cases to date describing vertebral artery dissection following tonic clonic seizure. We report a case of vertebral artery dissection following a tonic clonic seizure in a patient with alcohol withdrawal who presented to the emergency department following his seizure. Patient had focal neurological signs and had an initial CT head which was unremarkable. Subsequently due to persistent neurological deficit patient underwent MRI brain with DWI images which confirmed acute infarction in basilar artery and right posterior cerebral artery territory. Later CT angiogram of aortic arch and the carotid arteries confirmed complete occlusion of right vertebral artery due to dissection.
Rahman S*, Ganesh V and Hakim M