Investigative Magnetic Resonance Imaging

Korean Society of Magnetic Resonance in Medicine (대한자기공명의과학회)
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Spontaneous Intracranial Vertebral Artery Dissection in a 2-Year-Old Child Diagnosed with High-Resolution MRI: a Case Report

  • Heo, Subin (Department of Radiology, Ajou University School of Medicine, Ajou University Medical Center) ;
  • Han, Miran (Department of Radiology, Ajou University School of Medicine, Ajou University Medical Center) ;
  • Kim, Sung Hwan (Department of Pediatrics, Ajou University School of Medicine, Ajou University Medical Center) ;
  • Choi, Jin Wook (Department of Radiology, Ajou University School of Medicine, Ajou University Medical Center)
  • Received : 2019.03.30
  • Accepted : 2019.07.29
  • Published : 2019.09.30
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Abstract

Although many imaging modalities can play some roles in the diagnosis of vertebral artery dissection (VAD), digital subtraction angiography (DSA) remains the gold standard method, with the highest detection rate and ability to assist in planning for endovascular treatment. However, this tool is often avoided in children because its invasive nature and it exposes them to radiation. High resolution magnetic resonance imaging (HR-MRI) have been suggested to be a reliable and non-invasive alternative, but it has never been discussed in children in whom vertebral artery dissection is a rare condition. In this report, we evaluate a case of a 2-year-old child who initially presented with cerebellar symptoms, and was early diagnosed with vertebral artery dissection using HR- MRI and was successfully treated.

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References

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