Vertebral-artery dissection following a judo session: a case report.
A few days after a judo session, an 11-year-old boy presented with an ischemic stroke with dizziness, aphasia and ataxia. CCT scan revealed a left thalamic infarct. Angiography showed a fibromuscular dysplasia (FMD) of the left vertebral artery probably complicated by dissection. Subsequent evolution was favorable. This observation points out the fact that the association of a cervical pain with neurological signs of vertebrobasilar stroke, especially occurring after a cervical trauma or rotatory motion, should alert to the possibility of vertebral-artery dissection. The diagnosis is mainly based on angiographic criteria. Accurate diagnosis has implications for prognosis and probably for acute medical treatment.
Lannuzel
A
A
Service de Neurologie, CHU Jean Minjoz, Besançon, France.
Moulin
T
T
Amsallem
D
D
Galmiche
J
J
Rumbach
L
L
D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology*; D002533:Cerebral Angiography; D002544:Cerebral Infarction / Q000000981:diagnostic imaging / Q000209:etiology; D002648:Child; D005352:Fibromuscular Dysplasia / Q000150:complications; D006801:Humans; D008297:Male; D016139:Martial Arts / Q000293:injuries*; D013788:Thalamus / Q000098:blood supply; D014057:Tomography, X-Ray Computed; D014711:Vertebral Artery / Q000000981:diagnostic imaging / Q000293:injuries*