Journal of Pediatric Neurosciences
CASE REPORT
Year
: 2015  |  Volume : 10  |  Issue : 2  |  Page : 149--152

Pediatric posterior cerebral artery stroke as a presentation of atlantoaxial dislocation


HS Nandish, Sachin A Borkar, Shashank S Kale, Bhawani S Sharma, AK Mahapatra 
 Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Sachin A Borkar
Department of Neurosurgery, Room No 717, 7th Floor, CN Center, All India Institute of Medical Sciences, Ansarinagar, New Delhi 110 029
India

We report an uncommon case of posterior circulation stroke in a young patient due to occlusion of posterior cerebral artery with reducible atlantoaxial dislocation (AAD). Plain dynamic radiography showed reducible AAD and intra-arterial digital subtraction angiography demonstrated occlusion of left posterior cerebral artery. Patient underwent stabilization of craniovertebral junction by occipito cervical fixation using occipit-C2/C3 lateral mass screws and rod fixation and has since experienced no recurrent symptoms. Vertebrobasilar insufficiency is a known entity in a patient with reducible AAD; however, isolated involvement of posterior cerebral artery is very rare. So this condition should be kept in mind, and necessary interventions must be undertaken at the earliest to avoid further irreversible brain damage.


How to cite this article:
Nandish H S, Borkar SA, Kale SS, Sharma BS, Mahapatra A K. Pediatric posterior cerebral artery stroke as a presentation of atlantoaxial dislocation.J Pediatr Neurosci 2015;10:149-152


How to cite this URL:
Nandish H S, Borkar SA, Kale SS, Sharma BS, Mahapatra A K. Pediatric posterior cerebral artery stroke as a presentation of atlantoaxial dislocation. J Pediatr Neurosci [serial online] 2015 [cited 2019 Nov 17 ];10:149-152
Available from: http://www.pediatricneurosciences.com/article.asp?issn=1817-1745;year=2015;volume=10;issue=2;spage=149;epage=152;aulast=Nandish;type=0