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Journal of Child Neurology
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Vertebral Artery Dissection and Posterior Stroke in a Child

Ayelet Halevy, MD

Department of Neurology, Tel Aviv University

Osnat Konen, MD

Department of Radiology Schneider Children's Medical Center of Israel, Petach Tikva and Sackler Faculty of Medicine, Tel Aviv University, Israel

Rachel Straussberg, MD

Department of Neurology, Tel Aviv University

S.D. Michowitz, MD

Avinoam Shuper, MD

Department of Neurology, Tel Aviv University, avinoams{at}clalit.org.il

Vertebral artery dissection is a relatively rare disease. Its symptoms and signs can be misleading, making the diagnosis, even with imaging assistance, difficult. We describe an 8-year-old boy in whom a brain tumor was suspected because of neurological signs and findings on computerized tomography of the brain. The differential diagnosis was broadened with further imaging evaluation. Magnetic resonance angiography demonstrated vertebral artery dissection, which was attributed to a trivial trauma the child had experienced 1 week before presentation. During the follow-up period, the child recovered, except for residual right hemianopsia.

Key Words: vertebral artery dissection • posterior stroke • magnetic resonance angiography

This version was published on May 1, 2008

Journal of Child Neurology, Vol. 23, No. 5, 568-571 (2008)
DOI: 10.1177/0883073807313038
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