Cerebellar infarction from a traumatic vertebral artery dissection in a child.
Infarction due to vertebral dissection is a rarely reported event in children. We describe the clinical presentation, radiological findings and surgical treatment of a child with cerebellar infarction resulting from a traumatic vertebral artery dissection. Review of the literature on stroke due to a vertebral artery dissection in the pediatric population shows that trauma is a common preceding event. Although the most common site of traumatic vertebral artery dissection is at C1-2 level, our case illustrates that the vertebral artery dissection may also involve the lower cervical segment. We emphasize that vertebral artery dissection should be considered in a child with acute symptoms and signs of posterior circulation ischemia and that MRI and MR angiography may be helpful in the diagnosis of infarction and vertebral artery dissection.
Kim
S H
SH
Division of Neurosurgery, Children's Hospital, Ohio State University Hospitals, Columbus 43210, USA. kim.588@osu.edu
Kosnik
E
E
Madden
C
C
Rusin
J
J
Wack
D
D
Bartkowski
H
H
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000784:Aortic Dissection / Q000150:complications* / Q000209:etiology*; D002531:Cerebellum / Q000098:blood supply*; D002561:Cerebrovascular Disorders / Q000209:etiology*; D002648:Child; D005131:Eye Injuries / Q000150:complications; D006801:Humans; D007223:Infant; D007238:Infarction / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D014711:Vertebral Artery / Q000293:injuries*