Vertebral artery injury may occur at the time of cervical fracture or
dislocation. Congenital vertebral artery variations, especially a doub
le vertebral artery origin, may be responsible for angiographic findin
gs that mimic vertebral artery dissection, Two cases of cervical spine
fracture with ipsilateral double vertebral artery are presented, Conv
entional cerebral angiography is the easiest and best way to make this
diagnosis and to exclude vertebral artery dissection.