We present a case of a 32 year-old right-hand dominant woman who sustained a right brachial
plexus injury, ipsilateral fractures of the cervical spine transverse processes, and vertebral artery
dissection. She presented to us four days following the initiating accident. Magnetic Resonance
Imaging showed normal brachial plexus along with vertebral artery dissection with intramural
thrombus and vascular lumen occlusion. The dissection was managed conservatively. A repeat
CAT-SCAN Angiography three months later showed healing of the dissection plus vascular lumen
re-canalization. There were no sequelae due to the dissection.