case_images: PMC9815484_01
case_images: High T2 signal intensity involving the inferior part of the left cerebellum. Asterisk: infarcted portion of the left cerebellum
case_images: cureus-0015-00000033394-i01.jpg
case_images: PMC9815484_01_cureus-0015-00000033394-i01.jpg
case_images: FIG1
case_images: CTA demonstrated an abrupt cutoff of the contrast at the origin of the left vertebral artery (Figure 1), with faint contrast filling and irregular lumen seen within the V3 and V4 segments of the left vertebral artery, suggestive of VAD. Magnetic resonance imaging (MRI) and magnetic resonance angiogram (MRA) were both performed after three days and showed high T2 signal intensity involving the inferior part of the left cerebellum (Figure 1) and crescent-shaped T2 signal intensity in the fourth segment of the left vertebral artery (Figure 2).
case_images: Crescent-shaped high T2 signal intensity within segment 4 of the left vertebral artery. Blue arrows: the dissected part of the fourth segment of the left vertebral artery (LVA); picture A: upper cross-section magnetic resonance imaging (MRI) with contrast of the vertebral artery; picture B: lower cross-sectional MRI with contrast of the LVA
case_images: cureus-0015-00000033394-i02.jpg
case_images: PMC9815484_01_cureus-0015-00000033394-i02.jpg
case_images: FIG2
case_images: Magnetic resonance imaging (MRI) and magnetic resonance angiogram (MRA) were both performed after three days and showed high T2 signal intensity involving the inferior part of the left cerebellum (Figure 1) and crescent-shaped T2 signal intensity in the fourth segment of the left vertebral artery (Figure 2).
case_images: MRA showing significantly reduced flow within the left vertebral artery. Blue arrow: reduced blood flow of the left vertebral artery (LVA)
case_images: cureus-0015-00000033394-i03.jpg
case_images: PMC9815484_01_cureus-0015-00000033394-i03.jpg
case_images: FIG3
case_images: MRA demonstrated significantly decreased flow within the left vertebral artery (Figure 3).
case_images: Home massage device with rotating probes in the neck region
case_images: cureus-0015-00000033394-i04.jpg
case_images: PMC9815484_01_cureus-0015-00000033394-i04.jpg
case_images: FIG4
case_images: The massage machine used was a "massage chair" with rotating probes to massage the back and neck (Figure 4).