Vertebrobasilar insufficiency in rheumatoid atlanto-axial subluxation: a case report with angiographic demonstration of left vertebral artery occlusion

✓ A case is described in which vertebral artery occlusion, caused by a fibrous band, occurred whenever the patient turned his head to the right side, resulting in vertigo and syncope whenever the head was turned to the right. Release of a fibrous band crossing the vertebral artery 2 cm from its origin relieved the patient's vertebral artery constriction and symptoms.

Download Full-text

Successful Treatment of Sudden Bilateral Sensorineural Hearing Loss due to Atherosclerotic Vertebral Artery Occlusion: A Case Report

Journal of Neuroendovascular Therapy ◽

10.5797/jnet.cr.2017-0133 ◽

2018 ◽

Vol 12 (10) ◽

pp. 496-502

Author(s):

Takaaki Yamazaki ◽

Hiroshi Moriwaki ◽

Yasuyuki Tatsuta ◽

Takehiko Sasaki ◽

Mitsunori Shimazaki ◽

...

Keyword(s):

Hearing Loss ◽

Case Report ◽

Sensorineural Hearing Loss ◽

Vertebral Artery ◽

Successful Treatment ◽

Artery Occlusion ◽

Sensorineural Hearing ◽

Vertebral Artery Occlusion ◽

Bilateral Sensorineural Hearing Loss

Download Full-text

Traumatic Vertebral Artery Dissection and Basilar Artery Occlusion/Stroke in a 7-Year-Old Child: A Case Report

Journal of Pediatric Intensive Care ◽

10.1055/s-0039-1692670 ◽

2019 ◽

Vol 08 (04) ◽

pp. 233-237

Author(s):

Binh Phung ◽

Trusha Shah

Keyword(s):

Case Report ◽

Vertebral Artery ◽

Basilar Artery ◽

Vertebral Artery Dissection ◽

Artery Occlusion ◽

Basilar Artery Occlusion ◽

Left Vertebral Artery ◽

Artery Dissection ◽

Life Threatening ◽

Computed Tomography Angiogram

AbstractVertebral artery dissection (VAD) followed by basilar artery occlusion/stroke (BAO/BAS) is a rare but potentially life-threatening complication. We present a case report of a 7-year-old boy with VAD complicated by BAO/BAS 4 days after falling off a scooter. Symptoms included left-sided weakness and facial droop preceded by a 20-minute episode of altered sensorium. Magnetic resonance imaging showed ischemic changes in the left posterior inferior cerebellum and right pons. Computed tomography angiogram confirmed dissection of the left vertebral artery with occlusion/thrombosis of the basilar artery. Heparinization for 96 hours, followed by 6 months of low-molecular weight heparin injection, resulted in improvement of his neurological symptoms.

Download Full-text

Rotational Vertebral Artery Occlusion: A Mechanism of Vertebrobasilar Insufficiency

Neurosurgery ◽

10.1097/00006123-199708000-00019 ◽

1997 ◽

Vol 41 (2) ◽

pp. 427-433 ◽

Cited By ~ 128

Author(s):

Todd A. Kuether ◽

Gary M. Nesbit ◽

Wayne M. Clark ◽

Stanley L. Barnwell

Keyword(s):

Vertebral Artery ◽

Artery Occlusion ◽

Vertebrobasilar Insufficiency ◽

Vertebral Artery Occlusion

Download Full-text

Lateral Medullary Syndrome Due to Left Vertebral Artery Occlusion in a Boy Postflexion Neck Injury

Child Neurology Open ◽

10.1177/2329048x19867800 ◽

2019 ◽

Vol 6 ◽

pp. 2329048X1986780

Author(s):

Abdulla Alawadhi ◽

Christine Saint-Martin ◽

Christine Sabapathy ◽

Guillaume Sebire ◽

Michael Shevell

Keyword(s):

Magnetic Resonance ◽

Vertebral Artery ◽

Posterior Inferior Cerebellar Artery ◽

Artery Occlusion ◽

Neck Injury ◽

Neurological Deficits ◽

Left Vertebral Artery ◽

Ischemic Lesion ◽

Vertebral Artery Occlusion ◽

Lateral Medullary Syndrome

Lateral medullary syndrome is rare in pediatrics. It is characterized by neurological deficits due to an ischemic lesion in the lateral medulla. The authors describe a 17-year-old boy who developed lateral medullary syndrome in the context of a hyperflexion neck injury while diving in shallow water with traumatic vascular injury. He had “crossed” neurological deficits above and below the neck. His magnetic resonance angiography showed intra- and extracranial left vertebral artery occlusion and his magnetic resonance imaging showed signal abnormality involving the left lateral medulla and inferomedial cerebellum in keeping with an infarct secondary to left vertebral artery and left posterior inferior cerebellar artery occlusion. Good neurological recovery was observed on heparin therapy started after surgical treatment of traumatic injury. To our knowledge, this is the first reported case of lateral medullary syndrome in a pediatric population related to a flexion neck injury. The authors emphasize the importance of a high level of suspicion for accurate diagnosis.

Download Full-text