Horowitz I N, Niparko N A
Department of Pediatrics, Cedars-Sinai Medical Center, Los Angeles, CA 90048-1869.
Pediatr Neurol. 1994 Oct;11(3):252-4. doi: 10.1016/0887-8994(94)90112-0.
Right vertebral artery dissection after trauma, with subsequent cerebellar and thalamic infarcts, is described in a 5-year-old child who presented with mild hemiparesis and ataxia. This vascular injury has been more commonly reported in adults. The diagnosis was confirmed with magnetic resonance imaging of the brain and cerebral magnetic resonance angiography. An arterial thrombus with multiple embolization was the cause of the child's neurologic deficits. Traumatic injury to the posterior circulation should be considered in children who have signs of vertebrobasilar insufficiency.
一名5岁儿童因外伤后右侧椎动脉夹层分离，继发小脑和丘脑梗死，表现为轻度偏瘫和共济失调。这种血管损伤在成人中报道更为常见。通过脑部磁共振成像和脑磁共振血管造影确诊。动脉血栓伴多发栓塞是患儿神经功能缺损的原因。对于有椎基底动脉供血不足体征的儿童，应考虑后循环的创伤性损伤。
