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Child's Nervous System

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01-01-2019 | Case Report

Vertebral artery dissection caused by atlantoaxial dislocation: a case report and review of literature

Authors: Yue Hu, Jialin Du, Zhenlei Liu, Hao Wu, Jianping Ding, Fengzeng Jian

Published in: Child's Nervous System | Issue 1/2019

Abstract

Background

Atlantoaxial dislocation (AAD) is the most common craniovertebral junction malformation (CVJm) which are anomalies of the bones and soft tissues surrounding the foramen magnum. It usually leads to neurologic abnormalities because of instability of this mobile area. But vertebral artery dissection (VAD) caused by AAD is uncommon.

Case report

We report a 15-year-old boy who presented with acute onset of bilateral VAD leading to posterior circulation ischemic stroke (PCIS). Computed tomography angiography (CTA) indicated dissection and occlusion of bilateral intracranial vertebral arteries and AAD with os odontoideum. After antithrombotic treatment for 3 months, the patient got complete revascularization and received posterior C1-C2 fusion.

Discussion

There have only been tens of cases of PCIS caused by CVJm. We reviewed these relevant literatures and suggested that more attention should be paid to vascular impairment for patients with CVJm.

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Title: Vertebral artery dissection caused by atlantoaxial dislocation: a case report and review of literature
Authors: Yue Hu
Jialin Du
Zhenlei Liu
Hao Wu
Jianping Ding
Fengzeng Jian
Publication date: 01-01-2019
Publisher: Springer Berlin Heidelberg
Published in: Child's Nervous System / Issue 1/2019
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-018-3948-x

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Vertebral artery dissection caused by atlantoaxial dislocation: a case report and review of literature

Abstract

Background

Case report

Discussion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Case report

Discussion

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