Spinal cord infarction caused by vertebral artery dissection： A case report and literature review

VernacularTitle:椎动脉夹层引起的脊髓梗死1例报告并文献复习
Author: Jingzan SHEN ¹ ; Xiaoying YAO ²
Author Information

1. 宁波市杭州湾医院神经内科，浙江宁波 315336
2. 上海交通大学附属仁济医院神经内科，上海 200127
Publication Type:Journal Article
Keywords: Spinal cord infarction; Vertebral artery dissection; Thrombolysis
From: Journal of Apoplexy and Nervous Diseases 2025;42(1):60-64
CountryChina
Language:Chinese
Abstract: Spinal cord infarction is rare， and vertebral artery dissection is even more seldom as a cause. This article reports a case of bilateral cervical spinal cord infarction due to right vertebral artery dissection and involvement of the anterior and posterior spinal artery supply areas， achieving a good recovery after intravenous thrombolysis， dual antiplatelet therapy， and other treatments. This may be the first reported case of spinal cord infarction caused by vertebral artery dissection treated with intravenous thrombolysis， suggesting that intravenous thrombolysis may be safe and effective for this rare condition. Vertebral artery dissection sometimes requires a combination of magnetic resonance imaging， vascular ultrasonography， computed tomography angiography， magnetic resonance angiography， and digital subtraction angiography for an accurate diagnosis.