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Paediatric Traumatic Vertebral Artery Dissection: A Case Report




A case of vertebral artery associated with cerebellar stroke in a child due to cranial trauma. The patient admitted to emergency department and hospitalized with symptoms such as unconsciousness, nausea and vomiting. The results of generalinspection was; Glasgow coma scale E4M4V4, pupillary isochoric, the pupillary light reflex +/+, no gaze defects and facial asymmetry, and presence of left-sided motor paresis. In the cranial computed tomography (CT) of the patient, significant hypodense area was detected in the left cerebellar hemisphere; left vertebral artery V3 segmental distention – and V4 segmental dissection was seen in computed tomography angiography. Magnetic resonance angiography showed acute ischaemia  in the left half of the left middle cerebellar pedicle and left cerebellar hemisphere, subacute stage ischaemia  area in the left thalamic region, left vertebral artery dissection.


15 Jun, 2018
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e-Published: 15 Feb, 2019


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