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Journal of the Korean Academy of Rehabilitation Medicine 1999;23(4):875-878.
Selective Spinal Cord Infarction on Gray Matter in a Child with Injured Unilateral Vertebral Artery: A case report.
Ahn, Sang Ho , Park, Hea Woon , Kim, Young Gi , Byun, Woo Mok , Kim, Sung Ho
1Department of Rehabilitation Medicine, Yeungnam University College of Medicine.
2Department of Diagnostic Radiology, Yeungnam University College of Medicine.
3Department of Neurosurgery, Yeungnam University College of Medicine.
편측 척추동맥 손상 소아에서 발생한 척수 회백질의 선택적 경색 ⁣증례 보고⁣
안상호, 박해운, 김영기, 변우목1, 김성호2
영남대학교 의과대학 재활의학과, 1진단방사선과학교실, 2신경외과학교실

Several studies report varing incidence of spinal cord injury without radiologic abnormality (SCIWORA) from 21% to 66% in children. Fifty-five percentage of SCIWORA involves the cervical cord. The mechanisms of neural damage of SCIWORA include flexion, hyperextension, longitudinal distraction and ischemia. But spinal cord infarction related to vertebral arterial injury is rare.

The authors report a case of selective spinal cord infarction on gray matter with unilateral vertebral artery injury after a minor trauma, in a 4-year-old boy. Neurological signs and symptoms developed 12 hours after the trauma. Initial postcontrast magnetic resonance imaging (MRI) showed an enhancement in the left vertebral artery. Follow up postcontrast MRI showed a selective signal change on the central gray matter and unilateral vertebral artery. We present this case with the review of literatures.

Key Words: Selective spinal cord infarction, Unilateral vertebral artery injury, Minor trauma


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