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Child's Nervous System

, Volume 35, Issue 1, pp 187–190 | Cite as

Vertebral artery dissection caused by atlantoaxial dislocation: a case report and review of literature

  • Yue Hu
  • Jialin Du
  • Zhenlei Liu
  • Hao Wu
  • Jianping Ding
  • Fengzeng JianEmail author
Case Report

Abstract

Background

Atlantoaxial dislocation (AAD) is the most common craniovertebral junction malformation (CVJm) which are anomalies of the bones and soft tissues surrounding the foramen magnum. It usually leads to neurologic abnormalities because of instability of this mobile area. But vertebral artery dissection (VAD) caused by AAD is uncommon.

Case report

We report a 15-year-old boy who presented with acute onset of bilateral VAD leading to posterior circulation ischemic stroke (PCIS). Computed tomography angiography (CTA) indicated dissection and occlusion of bilateral intracranial vertebral arteries and AAD with os odontoideum. After antithrombotic treatment for 3 months, the patient got complete revascularization and received posterior C1-C2 fusion.

Discussion

There have only been tens of cases of PCIS caused by CVJm. We reviewed these relevant literatures and suggested that more attention should be paid to vascular impairment for patients with CVJm.

Keywords

Atlantoaxial dislocation (AAD) Vertebral artery dissection (VAD) Posterior circulation ischemic stroke (PCIS) 

Notes

Compliance with ethical standards

Conflict of interest statement

On behalf of all authors, the corresponding author states that there is no conflict of interest.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Yue Hu
    • 1
  • Jialin Du
    • 2
  • Zhenlei Liu
    • 1
  • Hao Wu
    • 1
  • Jianping Ding
    • 2
  • Fengzeng Jian
    • 1
    Email author
  1. 1.Department of Neurosurgery, Xuanwu HospitalCapital Medical UniversityBeijingChina
  2. 2.Department of Neurology, Xuanwu HospitalCapital Medical UniversityBeijingChina

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