| Basilar artery occlusion in children: misleading presentations, "locked-in" state, and diagnostic importance of accompanying vertebral artery occlusion. | |
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MedLine Citation:
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PMID: 12940650 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Basilar artery occlusion in children is rare. The clinical diagnosis of basilar artery occlusion is often difficult because the initial neurologic findings, most frequently hemiparesis, involuntary movements, or headache, are often transient and can suggest complicated migraine, seizures, or both. We have reviewed 37 previously reported pediatric cases of basilar artery occlusion and present 3 additional ones. In the 40 cases, basilar artery occlusion alone occurred in 22; in the other 18, there was accompanying vertebral artery occlusion. In the cases of pure basilar artery occlusion, the most common causes were trauma and arteritis, but in most such cases, the etiology could not be determined. The cause was found much more often in cases of basilar artery occlusion with accompanying vertebral artery occlusion, with trauma being the most frequent etiology, especially in boys between 6 and 14 years. Of the 37 previously reported pediatric cases of basilar artery occlusion, 7 were "locked in" early in the course (mute, quadriparetic, aware, and communicative with eye movements), as were our 3 cases. In most cases of basilar artery occlusion that are locked in, the basilar artery occlusion involves its midportion, sparing the anterior inferior cerebellar and superior cerebellar arteries. |
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Authors:
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N Paul Rosman; Seema Adhami; Glenn B Mannheim; Nathaniel P Katz; Richard P Klucznik; Mary Anne Muriello |
Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Journal of child neurology Volume: 18 ISSN: 0883-0738 ISO Abbreviation: J. Child Neurol. Publication Date: 2003 Jul |
Date Detail:
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Created Date: 2003-08-27 Completed Date: 2003-09-09 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 8606714 Medline TA: J Child Neurol Country: United States |
Other Details:
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Languages: eng Pagination: 450-62 Citation Subset: IM |
Affiliation:
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Department of Pediatrics, The Floating Hospital for Children, Tufts-New England Medical Center, Tufts University School of Medicine, Boston, MA 02111, USA. prosman@tufts-nemc.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Child Child, Preschool Communication Diagnosis, Differential Eye Movements Humans Infant Male Muscle Contraction* Mutism / etiology Quadriplegia / etiology Retrospective Studies Syndrome Vertebral Artery / pathology Vertebrobasilar Insufficiency / complications*, diagnosis*, pathology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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