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Lateral Medullary Syndrome Due to Left Vertebral Artery Occlusion in a Boy Postflexion Neck Injury
| Content Provider | SAGE Publishing |
|---|---|
| Author | Alawadhi, Abdulla Saint-Martin, Christine Sabapathy, Christine Sebire, Guillaume Shevell, Michael |
| Copyright Year | 2019 |
| Abstract | Lateral medullary syndrome is rare in pediatrics. It is characterized by neurological deficits due to an ischemic lesion in the lateral medulla. The authors describe a 17-year-old boy who developed lateral medullary syndrome in the context of a hyperflexion neck injury while diving in shallow water with traumatic vascular injury. He had “crossed” neurological deficits above and below the neck. His magnetic resonance angiography showed intra- and extracranial left vertebral artery occlusion and his magnetic resonance imaging showed signal abnormality involving the left lateral medulla and inferomedial cerebellum in keeping with an infarct secondary to left vertebral artery and left posterior inferior cerebellar artery occlusion. Good neurological recovery was observed on heparin therapy started after surgical treatment of traumatic injury. To our knowledge, this is the first reported case of lateral medullary syndrome in a pediatric population related to a flexion neck injury. The authors emphasize the importance of a high level of suspicion for accurate diagnosis. |
| Related Links | https://journals.sagepub.com/doi/pdf/10.1177/2329048X19867800?download=true |
| ISSN | 2329048X |
| Volume Number | 6 |
| Journal | Child Neurology Open (CNO) |
| e-ISSN | 2329048X |
| DOI | 10.1177/2329048X19867800 |
| Language | English |
| Publisher | Sage Publications CA |
| Publisher Date | 2019-08-06 |
| Publisher Place | Los Angeles |
| Access Restriction | Open |
| Rights Holder | © The Author(s) 2019 |
| Subject Keyword | dissection Wallenberg syndrome trauma stroke posterior inferior cerebellar artery pediatrics |
| Content Type | Text |
| Resource Type | Article |