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NEUROLOGY 2004;63:1522-1523
© 2004 American Academy of Neurology
Brief Communications

Hemi-spinal cord infarction due to vertebral artery dissection in congenital afibrinogenemia

H. Laufs, MD, S. Weidauer, MD, C. Heller, MD, M. Lorenz, MD and T. Neumann-Haefelin, MD

From the Department of Neurology (Drs. Laufs, Lorenz, and Neumann-Haefelin), Institute of Neuroradiology (Dr. Weidauer), and Department of Pediatrics (Dr. Heller), J.W. Goethe-University, Frankfurt am Main, Germany.

Address correspondence and reprint requests to Dr. Tobias Neumann-Haefelin, Department of Neurology, J.W. Goethe-University, Schleusenweg 2-16, D-60528 Frankfurt/Main, Germany; e-mail: tnh{at}em.uni-frankfurt.de

Isolated ischemia of the cervical spinal cord is an uncommon but increasingly recognized complication of vertebral artery dissection (VAD). The authors report a young patient with congenital afibrinogenemia, who developed VAD with extensive unilateral spinal cord infarction, probably caused by local compression of spinal radicular feeders at their origin by vertebral artery hematoma.

Received April 16, 2004. Accepted in final form June 2, 2004.






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