Basilar artery occlusion due to spontaneous basilar artery dissection in a child

Basilar artery occlusion (BAO) causing brainstem infarction occurred in a 7-year-old boy without any basic disorders. A diagnosis of BAO due to basilar artery dissection (BAD) was suspected at angiography, and this was confirmed by gadolinium-enhanced magnetic resonance imaging (MRI). These investig...

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Bibliographic Details
Published in:Acta neurochirurgica 1999-01, Vol.141 (1), p.99-104
Main Authors: Nakatomi, H, Nagata, K, Kawamoto, S, Furusho, J I
Format: Article
Language:English
Subjects:
Aneurysm, Dissecting - complications
Basilar Artery - injuries
Basilar Artery - pathology
Cerebellum - blood supply
Cerebellum - pathology
Cerebral Infarction - etiology
Cerebral Infarction - pathology
Cerebrovascular Circulation
Child
Disease Progression
Follow-Up Studies
Humans
Intracranial Aneurysm - complications
Intracranial Embolism and Thrombosis - etiology
Intracranial Embolism and Thrombosis - pathology
Male
Pons - blood supply
Pons - pathology
Remission, Spontaneous
Vertebrobasilar Insufficiency - etiology
Vertebrobasilar Insufficiency - pathology
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Summary:Basilar artery occlusion (BAO) causing brainstem infarction occurred in a 7-year-old boy without any basic disorders. A diagnosis of BAO due to basilar artery dissection (BAD) was suspected at angiography, and this was confirmed by gadolinium-enhanced magnetic resonance imaging (MRI). These investigations clearly showed all the typical diagnostic signs such as a pseudolumen, double lumen and intimal flap, and a pseudolumen in resolution. The spontaneous healing of the dissection was clearly demonstrated during 10 months of follow-up. We stress that BAD can occur in young children and that combined diagnosis with gadolinium-enhanced MRI and angiography is conclusive for diagnosis of dissecting aneurysms. Wider use of these combined diagnostic methods will allow the detection of less severe basilar artery dissection, thus extending the spectrum of presentation and prognosis.
ISSN:0001-6268
0942-0940
DOI:10.1007/s007010050272