J Korean Neurol Assoc.  1996 Sep;14(3):875-879.

Spontaneus Basilar Artery Dissection Presenting with Internuclear Ophthalmoplegia

Affiliations
  • 1Department of Neurology, College of Medicine, Gyeongsang National University.
  • 2Department of Diagnostic Radiology, College of Medicine, Gyeongsang National University.

Abstract

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.


MeSH Terms

Angiography
Basilar Artery*
Brain
Brain Stem
Ischemia
Magnetic Resonance Imaging
Neck
Ocular Motility Disorders*
Paresthesia
Prognosis
Subarachnoid Hemorrhage
Full Text Links
  • JKNA
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr