Basilar Artery Occlusion due to Spontaneous Basilar Artery Dissection in a Child

Abstract

Basilar artery occlusion (BAO) causing brainstem infarction occurred in a 7-year-old boy without any basic disorders. A diagnosis of BAO due to basilar artery dissection (BAD) was suspected at angiography, and this was confirmed by gadolinium-enhanced magnetic resonance imaging (MRI). These investigations clearly showed all the typical diagnostic signs such as a pseudolumen, double lumen and intimal flap, and a pseudolumen in resolution. The spontaneous healing of the dissection was clearly demonstrated during 10 months of follow-up. We stress that BAD can occur in young children and that combined diagnosis with gadolinium-enhanced MRI and angiography is conclusive for diagnosis of dissecting aneurysms. Wider use of these combined diagnostic methods will allow the detection of less severe basilar artery dissection, thus extending the spectrum of presentation and prognosis.

Successful Endovascular Therapy for Acute Basilar Thrombosis in an Adolescent

“…3,7,26 Case reports of basilar artery stroke in children are few 14,[27][28][29][30] and a cause for most is never found. However, association with prothrombotic diseases, 31 anabolic steroid use, 32 inflammatory vasculitis, 33 spontaneous dissection, 34 and neonatal thromboembolism 35 have been reported. A recent report emphasized that factors common to pediatric posterior circulation stroke were male gender and vertebral artery dissection.…”

Traumatic Basilar Artery Dissection and Hypertrophic Olivary Degeneration

“…Vascular injury is rare following head trauma, and traumatic vascular injury can occur through 3 mechanisms: traumatic vascular aneurysm, trau- matic arterial dissection, and diffuse vasospasm (1,(11)(12)(13)(14)(15)(16). Head trauma rarely causes vascular injury as in our patient.…”

Acute Basilar Artery Dissection Treated by Emergency Stenting in a 13-Year-Old Boy

“…BA dissection may be limited to the BA itself, but it is occasionally caused by the extension of vertebral artery dissection [3, 14]. More rarely, BA dissection can extend to its branches, such as the cerebellar arteries and posterior cerebral arteries [1, 2, 9, 11].…”

“…Basilar artery (BA) dissection is rare compared to vertebral artery dissection [3, 7]. The prognosis of BA dissection varies from minimal neurological deficits to grave outcomes (including frequent death) [2, 7, 9, 14, 15, 17]. Herein, we report a 13-year-old boy who presented with a traumatic BA dissection and underwent emergency stenting on the day of ictus in an effort to recannulate the BA.…”