Traumatic Vertebral Artery Dissection in a Child with Brachial Plexus Injury

Park, Seong‐Hyun; Sung, Joo-Kyung; Hwang, Sung-Kyoo

doi:10.1159/000085871

Cited by 3 publications

(3 citation statements)

References 24 publications

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“…Vertebral artery dissection usually occurs at the C1-C2 level of the cervical vertebrae, ie, the upper portion of the V2 segment of the vertebral artery, 1,2 probably because of the rotation of the head at the atlanto-axial joint. [2][3][4] Blood penetrates the media layer of the artery by means of an endothelial tear and causes the vessel to become stenotic or completely obstructed, or to send an embolus to the posterior circulation. Multiple vessels are involved in 16-28% of cases of cervicocephalic artery dissection.…”

Section: Discussionmentioning

confidence: 99%

Vertebral Artery Dissection and Posterior Stroke in a Child

et al. 2008

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Vertebral artery dissection is a relatively rare disease. Its symptoms and signs can be misleading, making the diagnosis, even with imaging assistance, difficult. We describe an 8-year-old boy in whom a brain tumor was suspected because of neurological signs and findings on computerized tomography of the brain. The differential diagnosis was broadened with further imaging evaluation. Magnetic resonance angiography demonstrated vertebral artery dissection, which was attributed to a trivial trauma the child had experienced 1 week before presentation. During the follow-up period, the child recovered, except for residual right hemianopsia.

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Section: Discussionmentioning

confidence: 99%

Vertebral Artery Dissection and Posterior Stroke in a Child

et al. 2008

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“…A case of vertebral artery dissection (VAD) plus brachial plexus injury has been reported in a child following a car accident [6]. There has not been such a case reported in an adult.…”

Section: Introductionmentioning

confidence: 99%

“…Traumatic vertebral artery dissection is common with major penetrating or blunt neck trauma [ 5 ]. A case of vertebral artery dissection (VAD) plus brachial plexus injury has been reported in a child following a car accident [ 6 ]. There has not been such a case reported in an adult.…”

Section: Introductionmentioning

confidence: 99%

Traumatic vertebral artery dissection in an adult with brachial plexus injury and cervical spinal fractures

Motsitsi

Steyn

2014

J Brachial Plex Peripher Nerve Inj

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We present a case of a 32 year-old right-hand dominant woman who sustained a right brachial plexus injury, ipsilateral fractures of the cervical spine transverse processes, and vertebral artery dissection. She presented to us four days following the initiating accident. Magnetic Resonance Imaging showed normal brachial plexus along with vertebral artery dissection with intramural thrombus and vascular lumen occlusion. The dissection was managed conservatively. A repeat CAT-SCAN Angiography three months later showed healing of the dissection plus vascular lumen re-canalization. There were no sequelae due to the dissection.The details of the case are discussed in this report.

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Pediatric traumatic carotid, vertebral and cerebral artery dissections: a review

et al. 2011

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Traumatic cerebral dissections are rare but potentially dangerous conditions that through improved diagnostics have recently gained increased interest. However, there is still a significant lack of knowledge on the natural history, as well as on the best treatment options. Most of the literature on this topic consists of case reports and retrospective studies with no prospective randomized controlled studies. In our review, we highlight the fact that there is no level 1 evidence for the natural history of cerebral dissections or for the best treatment. We present 26 case studies derived from 70 pediatric patients affected by dissections, occlusions, and pseudoaneurysms.

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Traumatic Vertebral Artery Dissection in a Child with Brachial Plexus Injury

Cited by 3 publications

References 24 publications

Vertebral Artery Dissection and Posterior Stroke in a Child

Vertebral Artery Dissection and Posterior Stroke in a Child

Traumatic vertebral artery dissection in an adult with brachial plexus injury and cervical spinal fractures

Pediatric traumatic carotid, vertebral and cerebral artery dissections: a review

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