Vertebral artery dissection in a patient with Wildervanck syndrome.
Vertebral artery dissection as a cause of stroke is rarely reported in children. The association between vertebral artery dissection and Klippel-Feil syndrome is also very rare. We report on a case of vertebral artery dissection with posterior circulation involvement in a child with Klippel-Feil syndrome after a hard physical-training lesson. She was also diagnosed with Wildervanck syndrome, with additional clinical findings. Vertebral artery dissection should be considered in patients with Klippel-Feil syndrome who present with acute-onset neurologic signs. Movements such as hyperextension with rotation of the neck should be avoided in these cases.
Dirik
Eray
E
Division of Child Neurology, Department of Pediatrics, Dokuz Eylül University School of Medicine, Izmir, Turkey.
Yiş
Uluç
U
Dirik
Mehmet Alp
MA
Cakmakçi
Handan
H
Men
Süleyman
S
D000015:Abnormalities, Multiple / Q000473:pathology* / Q000503:physiopathology; D000293:Adolescent; D007758:Ear, Inner / Q000002:abnormalities; D005124:Eye Abnormalities; D005260:Female; D006314:Hearing Loss, Conductive / Q000473:pathology; D006801:Humans; D007714:Klippel-Feil Syndrome / Q000473:pathology* / Q000503:physiopathology; D018810:Magnetic Resonance Angiography; D009334:Neck Muscles / Q000002:abnormalities; D013131:Spine / Q000002:abnormalities; D013577:Syndrome; D020217:Vertebral Artery Dissection / Q000175:diagnosis* / Q000503:physiopathology