Open AccessPediatric posterior cerebral artery stroke as a presentation of atlantoaxial dislocation
Author(s) -
HS Nandish,
Sachin A Borkar,
Shashank S. Kale,
Bhawani S. Sharma,
AK Mahapatra
Publication year - 2015
Publication title -
journal of pediatric neurosciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.247
H-Index - 18
eISSN - 1998-3948
pISSN - 1817-1745
DOI - 10.4103/1817-1745.159186
Subject(s) - medicine , posterior cerebral artery , occlusion , presentation (obstetrics) , vertebral artery , digital subtraction angiography , stroke (engine) , fixation (population genetics) , surgery , radiology , angiography , cardiology , ischemia , middle cerebral artery , mechanical engineering , population , environmental health , engineering
We report an uncommon case of posterior circulation stroke in a young patient due to occlusion of posterior cerebral artery with reducible atlantoaxial dislocation (AAD). Plain dynamic radiography showed reducible AAD and intra-arterial digital subtraction angiography demonstrated occlusion of left posterior cerebral artery. Patient underwent stabilization of craniovertebral junction by occipito cervical fixation using occipit-C2/C3 lateral mass screws and rod fixation and has since experienced no recurrent symptoms. Vertebrobasilar insufficiency is a known entity in a patient with reducible AAD; however, isolated involvement of posterior cerebral artery is very rare. So this condition should be kept in mind, and necessary interventions must be undertaken at the earliest to avoid further irreversible brain damage.