Singer W D, Haller J S, Wolpert S M
Am J Dis Child. 1975 Apr;129(4):492-5. doi: 10.1001/archpedi.1975.02120410066018.
A 6-year-old boy developed a flaccid hemiplegia and dysarthria following several transient episodes of nausea, vomiting, and ataxia. An anomly of the dens was discovered, permitting subluxation of C-1 on C-2. A segmental occlusion of the right vertebral artery and an aneurysm of the left vertebral artery were found at the C-2 level, as well as a thromboembolic occlusion of the rostral end of the basilar artery. It appeared that the repeated cervical subluxation produced occlusive, aneurysmal, and embolic vascular disease, and that clinical symptoms were the result of ischemia in the territory perfused by the vertebrobasilar arteries.
一名6岁男孩在经历数次短暂的恶心、呕吐和共济失调发作后，出现了弛缓性偏瘫和构音障碍。发现齿状突异常，导致C-1椎体在C-2椎体上半脱位。在C-2水平发现右椎动脉节段性闭塞和左椎动脉动脉瘤，以及基底动脉头端的血栓栓塞性闭塞。似乎反复的颈椎半脱位导致了闭塞性、动脉瘤性和栓塞性血管疾病，临床症状是椎基底动脉供血区域缺血的结果。
