Tramo M J, Hainline B, Petito F, Lee B, Caronna J
Stroke. 1985 Nov-Dec;16(6):1039-42. doi: 10.1161/01.str.16.6.1039.
A twenty-five year old woman suffered the acute onset of dysequilibrium followed by headache, nausea, vomiting, vertigo, and slurred speech while swimming. Brain imaging revealed a right cerebellar infarct. Intravenous digital subtraction angiography showed a hypoplastic right vertebral artery and focal narrowing of the dominant left vertebral at the level of the C1-C2 junction. The patient was treated with aspirin and dipyridamole and immobilized for two weeks. She achieved almost complete recovery. Repeat angiography showed resolution of the left vertebral artery defect. Other cases of posterior circulation infarction associated with head turning during sports and ordinary activities are reviewed.
一名25岁女性在游泳时突然出现平衡失调，随后出现头痛、恶心、呕吐、眩晕和言语不清。脑部影像学检查显示右侧小脑梗死。静脉数字减影血管造影显示右侧椎动脉发育不全，优势侧左侧椎动脉在C1-C2交界处水平局灶性狭窄。患者接受阿司匹林和双嘧达莫治疗，并固定两周。她几乎完全康复。重复血管造影显示左侧椎动脉缺损消失。本文还回顾了其他与运动和日常活动中转头相关的后循环梗死病例。
