Vertebral Artery Dissection Presenting with Acute Infarction in Cervical Spinal Cord and Cerebellum

Author: Hak Young RHEE ¹ ; Jeong Su KIM ; Yu Young SHIN
Author Information

1. Department of Neurology, Kyung Hee University Hospital at Gangdong, School of Medicine, Kyung Hee University, Seoul, Korea. azzo73@gmail.com
Publication Type:Case Report
Keywords: Vertebral artery dissection; Spinal cord ischemia; Cerebellum
MeSH: Aged; Angiography; Brain; Cerebellum; Cerebral Angiography; Cervical Cord; Humans; Infarction; Magnetic Resonance Imaging; Spinal Cord; Spinal Cord Ischemia; Vertebral Artery Dissection; Vertebral Artery
From:Journal of the Korean Neurological Association 2019;37(1):62-65
CountryRepublic of Korea
Language:Korean
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.