Trauma-related Vertebral Artery Dissection with Delayed Onset Cerebellar Infarction: A casereport

Authors

Tsung-Ying Li
Liang-Cheng Chen
Shuu-Hai Jiang
Shiou-Ping Lin
Kao-Chung Tsai

Translated Title

外傷所致椎動脈剝離和遲發性小腦梗塞性中風：病例報告

Abstract

Cerebellar stroke is uncommon in young patients. We report the case of a 22-year-old man with a delayed cerebellar infarction secondary to vertebral artery dissection caused by trauma. While riding a bicycle as part of an extreme sport, his left clavicle struck a bicycle handle. Evaluation in the emergency room led to a diagnosis of left shoulder contusion without fracture of clavicle or cervical spine. Headache, severe vomiting, and weakness of the right-sided limbs developed three days later, and he presented to emergency staff again. Head injury was initially suspected, but the diagnosis was left vertebral artery dissection with delayed-onset right cerebellar infarction. After low-molecular-weight heparin, anti-platelet medication, and rehabilitation, the patient has had a very good functional recovery. Early diagnosis and treatment can prevent serious complications related to vertebral artery dissection, as shown by the current patient, who has a good prognosis after advanced rehabilitation.

Language

Traditional Chinese

DOI Link

https://doi.org/10.6315/2004.32(4)07

First Page

215

Last Page

220

Recommended Citation

Li, Tsung-Ying; Chen, Liang-Cheng; Jiang, Shuu-Hai; Lin, Shiou-Ping; and Tsai, Kao-Chung (2004) "Trauma-related Vertebral Artery Dissection with Delayed Onset Cerebellar Infarction: A casereport," Rehabilitation Practice and Science: Vol. 32: Iss. 4, Article 7.
DOI: https://doi.org/10.6315/2004.32(4)07
Available at: https://rps.researchcommons.org/journal/vol32/iss4/7