A Case of Bilateral Spontaneous Extracranial Vertebral Artery Dissection

J Korean Neurol Assoc > Volume 19(6); 2001 > Article

Journal of the Korean Neurological Association 2001;19(6): 641-644.

양측성 자발성 두개강외 추골동맥박리 1예

이호원, 김은희 박희천 박경건 김종열 박성파 서정규

경북대학교 의과대학 신경과학교실

A Case of Bilateral Spontaneous Extracranial Vertebral Artery Dissection

"Ho Won Lee M.D., Eun Hee Kim M.D., Heui-Cheun Park M.D., Kyoung-Kyune Park M.D., Jong Yeol Kim, M.D., Sung Pa Park, M.D., Chung Kyu Suh, M.D."

Department of Neurology, School of Medicine, Kyungpook National University

Abstract

The most common mechanism of cerebellar infarction in young patients is arterial occlusion resulting from intracra-nial vertebral artery dissection. We describe a 26-year-old male patient with superior cerebellar artery infarction result-ing from a bilateral spontaneous extracranial vertebral artery dissection. The brain MRI showed an infarction of the left SCA territory and the angiography showed irregular stenosis with mural hematoma in the bilateral extracranial vertebral arteries. The angiography, taken 3 months later, showed recanalization of the arteries after serial treatments. Key Words : Extracranial vertebral artery, Spontaneous dissection, Cerebellar infarction