Case Presentation: Vertebral arterial dissections (VAD) while commonly associated with strokes in younger patients (below age of 45) can occur at any age. They are typically seen in patients with head or neck trauma having underlying vascular risk factors including hypertension, hyperlipidemia, tobacco use, and connective tissue disorders. Growing interest in physical fitness has resulted [...]

Case Presentation: A healthy 18-year-old male presented to the emergency department with headache, confusion, projectile vomiting, blurring of vision, and gait imbalance which he developed three days prior while working out at the gym doing “shoulder shrugs”. Imaging revealed a large evolving acute left cerebellar infarct with obstructive hydrocephalus and vertebral artery dissection at the [...]