Vertebral artery dissection as a cause of a pure motor C5/C6 radiculopathy

Introduction: Vertebral artery dissection usually presents with brain stem ischemia and neck pain, rarely with spinal ischemia. Here, we present a patient who suffered from a left sided C5/C6 syndrom caused by an ipsilateral vertebral artery dissection. Case report: A 43 year old female presented with a progressive weakness of her left arm since 4 days. She reported that she received a H1N1 vaccination 4 weeks before. 2 weeks later she experienced severe pain in the left shoulder and was treated chiropractically the next week. 2 days after she noticed a weakness of her left arm elevation which increased to compl…