J Korean Neurol Assoc.
2019 Feb;37(1):62-65. 10.17340/jkna.2019.1.11.
Vertebral Artery Dissection Presenting with Acute Infarction in Cervical Spinal Cord and Cerebellum
- Affiliations
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- 1Department of Neurology, Kyung Hee University Hospital at Gangdong, School of Medicine, Kyung Hee University, Seoul, Korea. azzo73@gmail.com
- KMID: 2449295
- DOI: http://doi.org/10.17340/jkna.2019.1.11
Abstract
- We describe a case of vertebral artery dissection (VAD) presenting with acute infarctions in cervical spinal cord and cerebellum in a 78-year-old man. Diffusion-weighted magnetic resonance (MR) imaging of the brain demonstrated diffusion-restricted lesions in the right cerebellum and sagittal T2-weighted MR imaging of spinal cord showed a hyperintense lesion of the cervical spinal cord at C2-C4 level. Right VAD was identified by transfemoral cerebral angiography and computed tomography angiography which showed segmental occlusion in the right vertebral artery.
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