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Vertebral Artery Dissection: A Differential for Childhood Stroke
Sahana Devadas1, Niharika Shetty, K Mallesh
1Department of Pediatrics, Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India.
Neurology India
|May 23, 2025
Summary
Vertebral artery dissection can cause childhood stroke, often after exercise. Early detection and antithrombotic medication are key for treating this condition, which may be asymptomatic.
Area of Science:
- Neurology
- Pediatric Neurology
- Vascular Neurology
Background:
- Vertebral artery dissection is a significant cause of stroke in children.
- It can be spontaneous or traumatic, frequently linked to strenuous physical activity.
- Symptoms may be absent or mild, complicating clinical diagnosis.
Observation:
- A 16-year-old female presented with sudden paralysis.
- The paralysis was attributed to a vertebrobasilar ischemic stroke.
- The underlying cause was identified as vertebral artery dissection.
Findings:
- Vertebral artery dissection is an underrecognized cause of pediatric stroke.
- Angiography remains the gold standard for diagnosing arterial dissection.
- Antithrombotic therapy is the primary treatment approach.
Implications:
- Highlights the importance of considering vertebral artery dissection in pediatric stroke evaluations.
- Emphasizes the need for prompt diagnosis and management to prevent severe neurological deficits.
- Underscores the role of vascular imaging in pediatric stroke workups.
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