A case of vertebral artery dissection diagnosed using gadolinium-based contrast agent in a patient with iodine allergy

January 1, 2026Rinsho ShinkeigakuOpen Access

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Key Points

The aim is to highlight the effective diagnosis of vertebral artery dissection using gadolinium-based contrast in a patient with an iodine allergy.
Conducted multiple CT scans for spleen injury evaluation despite iodine allergy.
Performed MRI due to dual vision occurring five years post-trauma.
Used gadolinium contrast for cerebral angiography to identify vascular issues.
Identified cerebral infarction in the right middle cerebral artery via MRI.
Detected vertebral artery dissection through gadolinium-enhanced angiography.
Demonstrated potential for gadolinium contrast in cases with a history of iodine allergy.

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Case report reveals vertebral artery dissection diagnosis in a patient with iodine allergy, suggesting alternative imaging methods.

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Nakayasu et al. (2026) studied this question.

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