Vertebral Artery Dissection Complicated by Basilar Artery Occlusion
Acute basilar artery occlusion (ABAO) is an infrequent but potentially fatal complication that can cause strokes in both adults and children. Traumatic vertebral artery dissection (VAD) is one of the most common causes of ABAO in young patients. We present a case of an 11-year-old boy with VAD compl...
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Elsevier
2014-08-01
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| Series: | Pediatrics and Neonatology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1875957212002240 |
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| author | Chia-Yin Kuan Kun-Long Hung |
| author_facet | Chia-Yin Kuan Kun-Long Hung |
| author_sort | Chia-Yin Kuan |
| collection | DOAJ |
| description | Acute basilar artery occlusion (ABAO) is an infrequent but potentially fatal complication that can cause strokes in both adults and children. Traumatic vertebral artery dissection (VAD) is one of the most common causes of ABAO in young patients. We present a case of an 11-year-old boy with VAD complicated by basilar artery occlusion 2 days after a fight with classmates that caused severe neurological deficits. He did not have any direct head trauma or concomitant risk factors. Clinical symptoms included nausea, vomiting, and rapid alteration of consciousness. Magnetic resonance imaging showed total occlusion of the basilar artery, and angiography confirmed VAD from the third to the fourth segments. A history of such subtle precipitating events should be noted when diagnosing young patients with brainstem strokes. A delay in the diagnosis of ABAO is frequently due to misleading symptoms and signs and the lack of awareness of this rare condition. |
| format | Article |
| id | doaj-art-8e2a4c454a1f455ea1e738f11305e56e |
| institution | DOAJ |
| issn | 1875-9572 |
| language | English |
| publishDate | 2014-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Pediatrics and Neonatology |
| spelling | doaj-art-8e2a4c454a1f455ea1e738f11305e56e2025-08-20T03:03:58ZengElsevierPediatrics and Neonatology1875-95722014-08-0155431631910.1016/j.pedneo.2012.12.014Vertebral Artery Dissection Complicated by Basilar Artery OcclusionChia-Yin Kuan0Kun-Long Hung1Department of Pediatrics, Cathay General Hospital, Taipei, TaiwanDepartment of Pediatrics, Cathay General Hospital, Taipei, TaiwanAcute basilar artery occlusion (ABAO) is an infrequent but potentially fatal complication that can cause strokes in both adults and children. Traumatic vertebral artery dissection (VAD) is one of the most common causes of ABAO in young patients. We present a case of an 11-year-old boy with VAD complicated by basilar artery occlusion 2 days after a fight with classmates that caused severe neurological deficits. He did not have any direct head trauma or concomitant risk factors. Clinical symptoms included nausea, vomiting, and rapid alteration of consciousness. Magnetic resonance imaging showed total occlusion of the basilar artery, and angiography confirmed VAD from the third to the fourth segments. A history of such subtle precipitating events should be noted when diagnosing young patients with brainstem strokes. A delay in the diagnosis of ABAO is frequently due to misleading symptoms and signs and the lack of awareness of this rare condition.http://www.sciencedirect.com/science/article/pii/S1875957212002240basilar artery occlusionpediatric strokevertebral artery dissection |
| spellingShingle | Chia-Yin Kuan Kun-Long Hung Vertebral Artery Dissection Complicated by Basilar Artery Occlusion Pediatrics and Neonatology basilar artery occlusion pediatric stroke vertebral artery dissection |
| title | Vertebral Artery Dissection Complicated by Basilar Artery Occlusion |
| title_full | Vertebral Artery Dissection Complicated by Basilar Artery Occlusion |
| title_fullStr | Vertebral Artery Dissection Complicated by Basilar Artery Occlusion |
| title_full_unstemmed | Vertebral Artery Dissection Complicated by Basilar Artery Occlusion |
| title_short | Vertebral Artery Dissection Complicated by Basilar Artery Occlusion |
| title_sort | vertebral artery dissection complicated by basilar artery occlusion |
| topic | basilar artery occlusion pediatric stroke vertebral artery dissection |
| url | http://www.sciencedirect.com/science/article/pii/S1875957212002240 |
| work_keys_str_mv | AT chiayinkuan vertebralarterydissectioncomplicatedbybasilararteryocclusion AT kunlonghung vertebralarterydissectioncomplicatedbybasilararteryocclusion |