Cerebellar infarction from a traumatic vertebral artery dissection in a child

Stanley H. Kim, Edward Kosnik, Christopher Madden, Jerome Rusin, Diana Wack, Henry Bartkowski

Research output: Contribution to journalArticlepeer-review

19 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)71-77
Number of pages7
JournalPediatric Neurosurgery
Volume27
Issue number2
DOIs
StatePublished - Jan 1 1997

Keywords

  • Cerebellar infarction
  • Children
  • MR angiography
  • MRI
  • Posterior fossa
  • Stroke
  • Trauma
  • Vertebral artery dissection

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery
  • Clinical Neurology

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