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Neuropediatrics 1994; 25(2): 106-108
DOI: 10.1055/s-2008-1071595
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© Georg Thieme Verlag KG Stuttgart · New York

Vertebral-Artery Dissection Following a Judo Session: A Case Report

A.  Lannuzel1 , T.  Moulin1 , D.  Amsallem2 , J.  Galmiche1 , L.  Rumbach1
  • 1Service de Neurologie et, CHU Jean Minjoz, Besançon, France
  • 2Service de Pédiatrie, CHU Jean Minjoz, Besançon, France
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Publication History

Publication Date:
19 March 2008 (online)

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Abstract

A few days after a judo session, an 11-year-old boy presented with an ischemic stroke with dizziness, aphasia and ataxia. CCT scan revealed a left thalamic infarct. Angiography showed a fibromuscular dysplasia (FMD) of the left vertebral artery probably complicated by dissection. Subsequent evolution was favorable. This observation points out the fact that the association of a cervical pain with neurological signs of vertebrobasilar stroke, especially occurring after a cervical trauma or rotatory motion, should alert to the possibility of vertebral-artery dissection. The diagnosis is mainly based on angiographic criteria. Accurate diagnosis has implications for prognosis and probably for acute medical treatment.

Key words

Dissection - Extracranial vertebral artery - Thalamic infarct - Child - Fibromuscular dysplasia

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