Dirik Eray, Yiş Uluç, Dirik Mehmet Alp, Cakmakçi Handan, Men Süleyman
Division of Child Neurology, Department of Pediatrics, Dokuz Eylül University School of Medicine, Izmir, Turkey.
Pediatr Neurol. 2008 Sep;39(3):218-20. doi: 10.1016/j.pediatrneurol.2008.06.005.
Vertebral artery dissection as a cause of stroke is rarely reported in children. The association between vertebral artery dissection and Klippel-Feil syndrome is also very rare. We report on a case of vertebral artery dissection with posterior circulation involvement in a child with Klippel-Feil syndrome after a hard physical-training lesson. She was also diagnosed with Wildervanck syndrome, with additional clinical findings. Vertebral artery dissection should be considered in patients with Klippel-Feil syndrome who present with acute-onset neurologic signs. Movements such as hyperextension with rotation of the neck should be avoided in these cases.
椎动脉夹层作为儿童中风的病因鲜有报道。椎动脉夹层与Klippel-Feil综合征之间的关联也极为罕见。我们报告一例患有Klippel-Feil综合征的儿童在剧烈体育训练课后发生椎动脉夹层并累及后循环的病例。她还被诊断出患有Wildervanck综合征，并伴有其他临床症状。对于出现急性神经症状的Klippel-Feil综合征患者，应考虑椎动脉夹层的可能。在这些情况下，应避免诸如颈部过度伸展并旋转等动作。
