Lotze T E, Paolicchi J
Department of Pediatric Neurology, Columbus Children's Hospital, Ohio 43205, USA.
J Child Neurol. 2000 Oct;15(10):694-6. doi: 10.1177/088307380001501011.
Strokes of the posterior circulation are uncommon in childhood. In vertebrobasilar insults, vertebral artery dissection remains a rare diagnosis. We report the case of an 8-year-old boy with a history of migraine headaches who presented with acute cerebellar signs and agitation following multiple infarctions of bilateral cerebellar hemispheres. Vertebral angiography demonstrated dissection of the left vertebral artery with occlusion of the basilar artery just distal to its origin. Risk factors for vertebral artery dissection are reviewed, with emphasis on association with migraine headaches. A review of imaging studies for the diagnosis of dissection is also presented. This case demonstrates the importance of considering arterial wall dissection in pediatric patients with a history of atypical migraines associated with new neurologic findings.
后循环卒中在儿童期并不常见。在椎基底动脉损伤中，椎动脉夹层仍然是一种罕见的诊断。我们报告了一名8岁男孩的病例，他有偏头痛病史，在双侧小脑半球多次梗死之后出现急性小脑体征和烦躁不安。椎动脉血管造影显示左椎动脉夹层，基底动脉在其起始部远端闭塞。本文回顾了椎动脉夹层的危险因素，重点是与偏头痛的关联。还介绍了用于夹层诊断的影像学研究综述。该病例表明，对于有非典型偏头痛病史并伴有新的神经系统表现的儿科患者，考虑动脉壁夹层的重要性。
