Abstract
Vertebral 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.
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.
Original language | American English |
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Pages (from-to) | 233-237 |
Number of pages | 5 |
Journal | Journal of pediatric intensive care |
Volume | 8 |
Issue number | 4 |
DOIs | |
State | Published - Dec 2019 |
Keywords
- basilar artery occlusion/stroke
- pediatric arterial ischemic stroke
- vertebral artery dissection