Garg B P, Edwards-Brown M K
Department of Neurology, Indiana University School of Medicine, Indianapolis, USA.
Pediatr Neurol. 1995 Feb;12(2):162-4. doi: 10.1016/0887-8994(94)00120-q.
Vertebral artery compression from head turning has been described in adults, especially in those who have spondylosis of the spine and osteophytes. There are no reports that demonstrate vertebral artery compression due to head turning in children without vertebral abnormalities. A child is reported with thalamic stroke in whom cerebral arteriography revealed vertebral artery compression on head turning. Blood flow in the vertebral artery, however, could be demonstrated by Doppler ultrasonography with the head in the midline. It is concluded that the vertebral artery is vulnerable to mechanical compression in the neck even in the absence of bony abnormalities.
成人中已描述过转头导致椎动脉受压的情况，尤其是那些患有脊柱骨质增生和骨赘的人。尚无报道表明在没有椎体异常的儿童中，转头会导致椎动脉受压。本文报告了一名患有丘脑卒中的儿童，其脑血管造影显示转头时椎动脉受压。然而，当头部处于中线位置时，通过多普勒超声检查可显示椎动脉内的血流。得出的结论是，即使没有骨质异常，椎动脉在颈部也容易受到机械性压迫。
