Simple jQuery Dropdowns
Please use this identifier to cite or link to this item:
Title: Symptomatic spontaneous vertebrobasilar dissections in children: Review of 29 consecutive cases: Clinical article
Authors: Dittapong Songsaeng
Kittipong Srivatanakul
Timo Krings
Sasikhan Geibprasert
Augustin Ozanne
Pierre Lasjaunias
Universite Paris-Sud XI
Mahidol University
University of Toronto
Asahi General Hospital
Keywords: Medicine
Issue Date: 1-Sep-2010
Citation: Journal of Neurosurgery: Pediatrics. Vol.6, No.3 (2010), 233-243
Abstract: Object. The purpose of this study is to analyze the clinical presentation, morphological characteristics, angio-architecture, and outcome of vertebrobasilar dissection (VBD) in the pediatric population. Methods. The authors retrospectively reviewed 29 consecutive cases involving children younger than 16 years of age who were diagnosed with symptomatic VBDs. Data were gathered with respect to the patient's age, sex, clinical history, associated underlying disease, and symptoms (headache, vertigo) as well as the location of the dissection and the imaging appearance. Results. The patients' mean age was 8.24 years (range 2 months - 15 years). There was an overall 3:1 male predominance, although among children older than 8 years, girls and boys were similarly affected. Hemorrhagic dissections occurred in 10 of 29 cases. In nonhemorrhagic dissections, stroke occurred in 16 cases, with the most common presenting symptoms being headaches and vertigo; in the other 3 cases, mass effect due to a chronic dissecting aneurysm was present. In 7 children an underlying vessel wall disease was found. The location of the dissection was extradural in 11 cases and intradural in the remainder. There was no preference with respect to side. The basilar artery was affected in 9 patients. Conclusions. The imaging appearance and clinical presentation of symptomatic VBDs in the pediatric population differs from that in adults. Boys are more often affected, especially at younger ages, and hemorrhagic presentation is more common, presumably owing to the fact that the basilar artery is more commonly involved. Depending on the pathogenetic mechanism underlying the dissection, different clinical symptoms will evolve, necessitating individually tailored treatment.
ISSN: 19330715
Appears in Collections:Scopus 2006-2010

Files in This Item:
There are no files associated with this item.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.