Wallenberg's Syndrome Caused by Dissection of The Vertebral Artery

Öz

Vertebral artery dissection (VAD) is a relatively rare but increasingly recognized cause of stroke in patients younger than 45 years. Patients present variably, most frequently with neck pain and headache as well as posterior fossa. In this article we present a case with VAD causes Wallenberg syndrome because of rare presentation.

Anahtar Kelimeler

• Vertebral artery dissection, Wallenberg syndrome, Stroke

Wallenberg Sendromu'na Neden Olan Vertebral Arter Diseksiyonu

Öz

Vertebral arter diseksiyonu nadir görülmekle birlikte son yıllarda 45 yaş altı hastalarda sıklıkla tanınan bir inme nedenidir. Hastalarda boyun ağrısı ve posterior fossa civarında baş ağrısı görülür. Bu makalede nadir görülmesi nedeniyle Wallenberg sendromuna neden olan vertebral arter diseksiyonu sunulmuştur.

Anahtar Kelimeler

• Vertebral arter diseksiyonu, Wallenberg sendromu, İnme

Kaynakça

1. Day GS, Swartz RH, Chenkin J, Shamji AI, Frost DW.Lateral medullary syndrome: a diagnostic approach illustrated through case presentation and literature review.CJEM. 2014 Mar 1;16(2):164-70.
2. Ropper AH., Brown RH. Adams and Victor’s Principles of Neurology. Mc Graw-Hill. (Çeviri Editörü: Murat Emre. Güneş Kitabevi, Ankara, 2006).
3. Schievink WI. Spontaneous dissection of the carotid and vertebral arteries. N Engl J Med 2001;344:898-906.
4. de Bray JM, Penisson-Besnier I, Dubas F, Emile J. Extracranial and intracranial vertebrobasilar dissections: diagnosis and prognosis. J Neurol Neurosurg Psychiatry 1997;63:46-51.
5. Saver JL, Easton JD, Hart RG. Dissections and trauma of cervicocerebral arteries. Stroke. Ed. Barnett HJM, Mohr JP, Stein BM, Yatsu FM. Second edition. New York, 1992; 671-688.
6. García-Moncó JC, Fernández Cantón G, Gómez Beldarrain M. Bilateral vertebral artery dissection in a patient with afibrinogenemia. Stroke 1996;27:2325-7.
7. Silbert PL, Mokri B, Schievink WI. Headache and neck pain in spontaneous internal carotid and vertebral artery dissections. Neurology 1995;45:1517-22.
8. Chang AJ, Mylonakis E, Karanasias P, De Orchis DF, Gold R. Spontaneous bilateral vertebral artery dissections: case report and literature review. Mayo Clin Proc 1999;74:893-6.

9. Felber S, Auer A, Schmidauer C, et al: Magnetic resonance angiography and magnetic resonance tomography in dissection of the vertebral artery. Radiologe. 1996, 36:872.
10. Zuber M, Meory E, Meder JF. Magnetic resonance imaging and dynamic CT scan in cervical artery dissections. Stroke 1994; 25: 576-581.
11. International Stroke Trial Collaborative Group. The International Stroke Trial (IST): A rondomized trial of aspirin, subcutaneous heparin, both or neither among 19,435 patients with acute ischemic stroke. Lancet 1997; 349:1569-81.
12. Friedman AH: Arterial dissections. In Wilkins RH, Rengachary SS (Eds): Neurosurgery, Second Edition, Vol II. New York, McGraw-Hill, 1996, pp 2173-2176.
13. Han DH, Kwon OK, Oh CW: Clinical characteristics of vertebrobasilar artery dissection. Neurol Med Chir (Tokyo). 1998, 38:107.
14. Higashida RT, Tsai FY, Halbach VV, et al: Interventional neurovascular techniques in the treatment of stroke-- state-of-the-art therapy. J Intern Med. 1995, 237:105.