Cerebellar infarction with associated acute hydrocephalus due to vertebral artery occlusion in a child

Bergen, Barry J.; Batnitzky, Solomon; Morantz, Robert A.; Price, Hilton I.

doi:10.1097/00006123-198103000-00010

Cited by 3 publications

(3 citation statements)

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“…Patient 3 developed transient hydrocephalus within 48 h related to the cerebellar edema associated with ischemia. Bergen et al [1] reported acute hydrocephalus associated with cerebellum infarction due to vertebral artery occlusion in a child [1]. Acute hydrocephalus was documented in patient 5, 2 years following the vertebrobasilar strokes and was assumed to be due to the gliosis from previous infarctions interfering with cerebrospinal fluid circulation.…”

Section: Discussionmentioning

confidence: 98%

“…With the advent of better diagnostic tests, it has become evident that this disorder is not so rare in children. There are several case reports [1][2][3][4][5] and a few series [6][7][8] of vertebrobasilar disease published in the literature. Garg et al described 6 children with posterior cerebral artery branch infarct [6] and 3 boys with strokes following vertebral artery trauma [7].…”

Section: Introductionmentioning

confidence: 99%

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Vertebrobasilar Strokes in Children

et al. 2000

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Objectives: This study describes the rare disorder of vertebrobasilar strokes in children and provides an assessment strategy to alert the clinician towards the possibility of this disorder. Method: A retrospective study of vertebrobasilar strokes over 20 years was conducted in the Neurology Department at the New Children’s Hospital, Sydney, Australia. Results: There were 6 males and 3 females between the ages of 18 months and 15 years. Frequently presenting features included headache, hemiparesis, ataxia and cranial nerve palsies. Aphasia occurred in 2 and afebrile seizures in 1 patient. Five patients had depressed consciousness extending to coma in 3. Etiological factors included trauma to the head or neck in 5, rheumatic endocarditis with artificial valve embolism in 1, brain stem encephalitis in 1 and undetermined etiology in 2. Diagnostic neuroimaging studies including MRI showed infarction in the territories of the occluded arteries. MRA showed occlusion of the vertebral artery and/or its branches in 5 patients, while the other 4 patients had involvement of the basilar artery and/or its branches. No abnormalities of blood coagulation were detected. Five patients were treated with anticoagulants. Acute hydrocephalus secondary to cerebellar infarction developed in 3 patients. Recurrent vertebrobasilar strokes were reported in 2 males, each of whom was treated surgically. There was 1 late death. Residual neurological deficits were seen in 5 patients and 3 made a complete recovery. Conclusion: Although this disorder is rare in pediatric patients, it is important to consider it in those children with appropriate neurological symptoms and signs.

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Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Vertebrobasilar Strokes in Children

et al. 2000

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“…Stroke in children is an uncommon event [1][2][3][4][5][6][7][8][9]. The overall incidence of childhood stroke (excluding those related to birth, intracranial infection and trauma) has been estimated at about 2.52 cases per 100,000 per year [10].…”

Section: Introductionmentioning

confidence: 99%

Cerebellar Infarction from a Traumatic Vertebral Artery Dissection in a Child

et al. 1997

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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.

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Vertebrobasilar Thrombosis and Involuntary Movements

Gordon

Lendon

1985

Develop Med Child Neuro

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SUMMARY There are a number of causes of thrombosis in the vertebro‐basilar system, and among these are trauma and abnormal movements. This is particularly likely to occur if there are anomalies or abnormalities of the spine or arteries. A case is reported which suggests that involuntary movements should be included in the possible aetiologies. RÉSUMÉ Thrombose vertébro‐basilaire et mouvements involontaires De nombreuses causes peuvent provoquer une thrombose du systéme vertebro‐basilaire, notamment lestraumatismes et les mouvements anormaux. Cette thrombose a des chances particuliéres de survenir s'il existe des déviances ou des anomalies de la colonne vertébrate ou des artéres. Les auteurs rapportent un cas qui suggére que le mouvement involontaire devrait ětre inclus dans les étiologies possibles. ZUSAMMENFASSUNG Vertebro‐basilare Thrombose und unwillkürliche Bewegungen Es gibt eine Reihe von Ursachen, die eine Thrombose im vertebro‐basilaren System hervorrufen können und darunter sind Traumen und abnorme Bewegungen. Dies ist umso wahrscheinlicher, wenn Anomalien Oder pathologische Befunde im Bereich der Wirbelsäule oder der Arterien vorliegen. Anhand eines Fallberichtes soil gezeigt werden, daß die unwillkürliche Bewegung mit zu den möglichen ätiologien gehört. RESUMEN Trombosis vértebro‐basilar y movimientos involuntarios Existe una serie de causas que pueden originar una trombosis del sistema vértebro‐basilar y entre ellos existen los traumas y los movimientos anómalos. Esto puede ocurrir sobre todo si hay anomalias o anormalidades del raquis o de las arterias. Se aporta un caso que sugiere que el movimiento involuntario debería ser incluído entre las posibles etiologías.

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Cerebellar infarction with associated acute hydrocephalus due to vertebral artery occlusion in a child

Cited by 3 publications

References 0 publications

Vertebrobasilar Strokes in Children

Vertebrobasilar Strokes in Children

Cerebellar Infarction from a Traumatic Vertebral Artery Dissection in a Child

Vertebrobasilar Thrombosis and Involuntary Movements

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