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To the Editor:
We read the article by Wolz et al.,1 who report a 35-year-old woman with stroke-in-evolution “secondary to a nondominant vertebral artery dissection” with a fatal outcome. We request clarification on the following points:
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We believe that the MRI findings of multiple bilateral cerebellar infarcts would be anatomically consistent with basilar artery dissection and inconsistent with vertebral artery dissection and would like the authors to explain this.
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What was the cause of the dissection (e.g., neck trauma, vasculitis)?
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What was the duration of heparinization? Was the patient still on heparin when the stroke began to …
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