{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T00:17:14Z","timestamp":1701735434278},"reference-count":0,"publisher":"California Digital Library (CDL)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Practice and Cases in Emergency Medicine"],"abstract":"<p>Introduction: Traumatic vertebral artery dissections resulting in stroke are relatively rare occurrences, especially in the absence of classic physical examination \ufb01ndings.Case Report: We present the case of a 30-year-old male with chest pain following a car axle falling onto his chest while trying to change a tire. He was discharged from the emergency department after having a negative workup for thoracic injury. Six hours later, the patient returned with headache and was found to have a cerebellar stroke secondary to vertebral artery dissection. After hospitalization, the patient was discharged home without any neurological de\ufb01cits.Conclusion: As they are usually asymptomatic, up to 80% of patients with blunt cerebrovascular injury will have delayed or missed diagnoses. Given the increased awareness of vascular injuries and their high morbidity, physicians should maintain a high index of suspicion for this diagnosis. <\/p>","DOI":"10.5811\/cpcem.1301","type":"journal-article","created":{"date-parts":[[2023,10,20]],"date-time":"2023-10-20T14:38:52Z","timestamp":1697812732000},"source":"Crossref","is-referenced-by-count":0,"title":["Cerebellar Infarction from a Vertebral Artery Dissection after Blunt Chest Injury: A Case Report"],"prefix":"10.5811","volume":"7","author":[{"given":"Daniella","family":"Lamour","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua J.","family":"Solano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jovana","family":"Rutherford","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott M.","family":"Alter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"29705","published-online":{"date-parts":[[2023,10,20]]},"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"deposited":{"date-parts":[[2023,12,4]],"date-time":"2023-12-04T18:38:35Z","timestamp":1701715115000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/2v81b392"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,20]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2023,11,30]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.1301","relation":{},"ISSN":["2474-252X"],"issn-type":[{"value":"2474-252X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10,20]]}}}