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NEUROLOGY 1993;43:2555
© 1993 American Academy of Neurology

Strokes in children due to vertebral artery trauma

Bhuwan P. Garg, MBBS, C. J. Ottinger, MD, R. R. Smith, MD and M. A. Fishman, MD

Section of Child Neurology, Department of Neurology (Drs. Garg and Ottinger), and the Department of Radiology (Dr. Smith), Indiana University School of Medicine, Indianapolis, IN; and the Departments of Neurology and Pediatrics (Dr. Fishman), Baylor College of Medicine and the Neurology Service, Texas Children's Hospital, Houston, TX.

Strokes due to vertebral artery lesions are rare in children. We describe three new patients and compare them with the 16 other patients described in the literature. All of these patients are boys. Traumatic vertebral artery lesion at C1–2 level was the most common cause of stroke, and the prognosis for neurologic recovery was good. We suggest that vertebral artery disease be considered in boys with posterior circulation ischemia.

Address correspondence and reprint requests to Dr. Bhuwan P. Garg, Section of Child Neurology, Department of Neurology, Riley Children's Hospital, Room 1757, 702 Barnhill Drive, Indianapolis, IN 46202–5200.

Presented in part at the 21st annual meeting of the Child Neurology Society, October 1992, New Orleans, LA.

Received January 19, 1993. Accepted for publication in final form May 7, 1993.




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