title: Artery-to-artery embolism with a mobile mural thrombus due to rotational vertebral artery occlusion.
abstract: Rotational vertebral artery (VA) occlusion can cause ischemic strokes due to hemodynamic insufficiency and possibly artery-to-artery (A-to-A) embolism. The former is known as bow hunter's stroke. The latter has been proposed only from indirect evidence. We have described a 7-year-old boy with cerebral infarction associated with A-to-A embolism due to repetitive rotational VA occlusion. He had a mobile mural thrombus at the VA occlusion site on head rotation. Surgical treatment may effectively prevent recurrences.
authors.affiliation: Department of Neurology, Nara Medical University, Nara, Japan. ksaito@naramed-u.ac.jp
authors.forename: Kozue
authors.initials: K
authors.lastname: Saito
authors.forename: Makito
authors.initials: M
authors.lastname: Hirano
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Taoka
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Nakagawa
authors.forename: Takanori
authors.initials: T
authors.lastname: Kitauchi
authors.forename: Emi
authors.initials: E
authors.lastname: Tanizawa
authors.forename: Koichi
authors.initials: K
authors.lastname: Yoshida
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Sakurai
authors.forename: Kentaro
authors.initials: K
authors.lastname: Tamura
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Nakase
authors.forename: Akira
authors.initials: A
authors.lastname: Yoshioka
authors.forename: Toshisuke
authors.initials: T
authors.lastname: Sakaki
authors.forename: Kimihiko
authors.initials: K
authors.lastname: Kichikawa
authors.forename: Satoshi
authors.initials: S
authors.lastname: Ueno
mesh_terms: D020520:Brain Infarction / Q000000981:diagnostic imaging* / Q000209:etiology; D002648:Child; D004617:Embolism / Q000150:complications / Q000000981:diagnostic imaging; D006801:Humans; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D008297:Male; D011859:Radiography; D014711:Vertebral Artery / Q000000981:diagnostic imaging*; D014715:Vertebrobasilar Insufficiency / Q000150:complications / Q000000981:diagnostic imaging*