椎动脉夹层所致缺血性脑血管意外

[Ischemic cerebral vascular accident caused by vertebral artery dissection].

作者信息

Tabarki B, el Madani A, Alvarez H, Husson B, Lasjaunias P, Landrieu P, Tardieu M, Sébire G

机构信息

Service de neurologie pédiatrique, hôpital de Bicêtre, Le Kremlin-Bicêtre, France.

出版信息

Arch Pediatr. 1997 Aug;4(8):763-6. doi: 10.1016/s0929-693x(97)83418-5.

DOI:10.1016/s0929-693x(97)83418-5

PMID:9337901

Abstract

BACKGROUND

Strokes due to vertebral artery lesions are not yet well known in children.

CASE REPORT

We report on a case of post-traumatic vertebral artery dissection responsible for ischemic stroke in a 8-year old boy. Headache, vomiting and a brief loss of consciousness were the main initial signs. Neurological examination showed a locked-in syndrome. Cerebral imaging revealed lesions in cortical cerebellar hemisphere, cerebral pedoncular and protuberance. An arteriogram performed on day 10 showed left vertebral artery occlusion at C2 levels consistent with vertebral dissection. Antiagregants treatment was given. Neurological recovery was good. Pertinent clinical data of 24 children who had strokes due to a vertebral artery dissection are analysed.

CONCLUSION

Vertebral artery dissection is presently a well-known cause of childhood strokes. Benefits from anticoagulants are now established.

摘要

背景

儿童因椎动脉病变导致的中风尚不为人熟知。

病例报告

我们报告一例8岁男孩因创伤后椎动脉夹层导致缺血性中风的病例。头痛、呕吐和短暂意识丧失是主要的初始症状。神经系统检查显示闭锁综合征。脑部成像显示小脑皮质半球、脑桥和延髓有病变。第10天进行的血管造影显示C2水平左侧椎动脉闭塞，与椎动脉夹层相符。给予抗血小板治疗。神经功能恢复良好。分析了24例因椎动脉夹层导致中风的儿童的相关临床资料。