ISSN 2564-7784 | E-ISSN 2564-7040
Case Report
Rare Cause of Cerebellar Mutism in Childhood: Vertebral Artery Dissection
1 Department of Pediatrics and Pediatric Neurology, İnönü University School of Medicine, Malatya, Turkey  
Eur J Ther ; : -
DOI: 10.5152/EurJTher.2019.18073
Key Words: Childhood, Stroke, Vertebral Artery Dissection
Abstract

Vertebral artery dissection (VAD), which is observed extremely rare, constitutes 2%-3% of cerebrovascular disease cases. The annual incidence of cerebrovascular disease (CVD) in childhood is 3-8/100.000. It is generally observed secondary to trauma, but it could be observed spontaneously. It is diagnosed with cranial magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA), and the gold standard is conventional angiography in diagnosis. A 12-year old girl has been hospitalized and followed-up in the center where she applied with headache and vomiting complaints that started 5 days ago. In the neurological examination; muscle power in lower and upper extremities was 4/5 on the right and 2/5 on the left, and babinski response was extensor on the left. Cranial MRA revealed a dissection in right middle vertebral artery in the M1 segment with vascular irregularity. Warfarin sodium was continued with the recommendation and physical therapy was started, and moderate recovery was determined in aphasia and partial recovery was determined in left hemiplegia on treatment day 7. Cerebellar infarct and cerebellar mutism cases should be considered in terms of vertebral artery dissection. Early diagnosis and treatment are very important with regard to mortality and morbidity. VAD should be considered in cerebellar infarct cases, and angiography should be assessed in diagnosis.

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AVES | Copyright © 2019 European Journal of Therapeutics | Latest Update: 18.09.2019