J Korean Neurol Assoc.
1996 Sep;14(3):875-879.
Spontaneus Basilar Artery Dissection Presenting with Internuclear Ophthalmoplegia
- Affiliations
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- 1Department of Neurology, College of Medicine, Gyeongsang National University.
- 2Department of Diagnostic Radiology, College of Medicine, Gyeongsang National University.
Abstract
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Basilar artery dissections are very rare, clinical entity which usually result in brainstem ischemia or subarachnoid hemorrhage. The prognosis is very poor and most of the reported cases were fatal. We recently experienced a case of basilar artery dissection presenting with internuclear ophthalmoplegia and perioral paresthesia which resolved after several days with conservative management and anticoagulation. This clinical manifestation was thought to be due to brain stem transient ischemia because he recovered completely. The cause of the dissection might be the vigorous neck movement to take off the wet shirt. We present the case with brain MRI, MR angiography and digital substraction vertebrobasilar arteriography.