Ischemic Insult in a Young Patient After Traumatic Dissection of the Vertebral Artery

被引:0
作者
Weissenberg, K. [1 ]
Weissenberg, W. [2 ]
机构
[1] Klin Orthopad & Unfallchirurg, Stadt Klinikum Dessau, D-06847 Dessau Rosslau, Germany
[2] Johannes Wesling Klinikum Minden, Inst Anasthesiol, Minden, Germany
来源
NOTARZT | 2009年 / 25卷 / 05期
关键词
traumatic dissection of vertebral artery; ischemic insult; thrombosis of basilar artery; time is brain; combilysis; CONNECTIVE-TISSUE DISORDERS; STROKE;
D O I
10.1055/s-0029-1220378
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
The ischemic insult in the young and vascular healthy patient is rather a rarity in emergency medicine. The following case report describes the successful emergency- and in-hospital-treatment of a 28-year-old patient who suffers a sudden break down while performing a shoulder pulling exercise in a gym. The clinical and radiological investigation showed a dissection of the right vertebral artery with a paramedian pontocerebellar ischemic insult.
引用
收藏
页码:160 / 162
页数:3
相关论文
共 16 条
  • [1] [Anonymous], LEITLINIEN DIAGNOSTI
  • [2] Biedermann B., 2007, J Neurol Neurochir Psychiatr, V8, P7
  • [3] ISCHEMIC STROKE IN PATIENTS UNDER AGE 45
    BOGOUSSLAVSKY, J
    PIERRE, P
    [J]. NEUROLOGIC CLINICS, 1992, 10 (01) : 113 - 124
  • [4] Incidence and prognosis of transient neurological attacks
    Bos, Michiel J.
    van Rijn, Marie Josee E.
    Witteman, Jacqueline C. M.
    Hofman, Albert
    Koudstaal, Peter J.
    Breteler, Monique M. B.
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2007, 298 (24): : 2877 - 2885
  • [5] Cross DT, 1998, AM J NEURORADIOL, V19, P1557
  • [6] Intravenous tPA in acute ischemic stroke related to internal carotid artery dissection
    Derex, L
    Nighoghossian, N
    Turjaman, F
    Hermier, M
    Honnorat, J
    Neuschwander, P
    Froment, JC
    Trouillas, P
    [J]. NEUROLOGY, 2000, 54 (11) : 2159 - 2161
  • [7] Eames PJ, 2002, J NEUROL NEUROSUR PS, V72, P467
  • [8] IV thrombolysis in patients with acute stroke due to spontaneous carotid dissection
    Georgiadis, D
    Lanczik, O
    Schwab, S
    Engelter, S
    Sztajzel, R
    Arnold, M
    Siebler, M
    Schwarz, S
    Lyrer, P
    Baumgartner, RW
    [J]. NEUROLOGY, 2005, 64 (09) : 1612 - 1614
  • [9] Infection and the risk of spontaneous cervical artery dissection - A case-control study
    Guillon, B
    Berthet, K
    Benslamia, L
    Bertrand, M
    Bousser, MG
    Tzourio, C
    [J]. STROKE, 2003, 34 (07) : E79 - E81
  • [10] Effects of poststroke pyrexia on stroke outcome - A meta-analysis of studies in patients
    Hajat, C
    Hajat, S
    Sharma, P
    [J]. STROKE, 2000, 31 (02) : 410 - 414