Recognizing vertebral artery dissection in children: a case report.
Vertebral artery dissection is an unusual cause of stroke especially in children. The majority of dissections are thought to be caused by trauma although in many cases the trauma may be trivial. In other cases, certain underlying pathological processes are thought to be risk factors. We report a case of vertebral artery dissection in a 9-year-old child who presented with neurologic deficits suggestive of a posterior circulation stroke. The signs and symptoms of this unusual entity can be subtle and intermittent over a period of days to weeks; thus, making it very difficult to recognize. Therefore, it is important to consider the possibility of vertebral artery dissection in the differential diagnosis of neurologic deficits in children.
Feudale
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Department of Emergency Medicine, Penn State Geisinger Health System, Danville, Pennsylvania 17821, USA. drcallie@ptd.net
Liebelt
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D002544:Cerebral Infarction / Q000175:diagnosis / Q000209:etiology; D002648:Child; D003937:Diagnosis, Differential; D004569:Electroencephalography; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D012307:Risk Factors; D020521:Stroke / Q000175:diagnosis; D014057:Tomography, X-Ray Computed; D014711:Vertebral Artery / Q000033:anatomy & histology; D020217:Vertebral Artery Dissection / Q000150:complications / Q000175:diagnosis* / Q000628:therapy
D006493:Heparin