Debehnke D J, Singer J I
Department of Emergency Medicine, Wright State University School of Medicine, Dayton, OH 45401.
Am J Emerg Med. 1991 Jan;9(1):49-51. doi: 10.1016/0735-6757(91)90015-c.
An 8-year-old boy developed seizures and coma 2 days after a trivial bicycle accident. Computed tomography failed to show pathology. Magnetic resonance imaging of the head showed infarction of the pons and right cerebellum. Angiography showed occlusion of the right vertebral and basilar arteries. Minor traumatic injuries to the cervical spine may result in vertebrobasilar occlusion. The neurologic manifestations of this disorder and emergency department diagnosis and management are discussed.
一名8岁男孩在一次轻微的自行车事故两天后出现癫痫发作和昏迷。计算机断层扫描未显示出病变。头部磁共振成像显示脑桥和右小脑梗死。血管造影显示右椎动脉和基底动脉闭塞。颈椎的轻微创伤性损伤可能导致椎基底动脉闭塞。本文讨论了该疾病的神经学表现以及急诊科的诊断和处理。
