RT Journal Article
SR Electronic
T1 Congenital anomaly of the posterior arch of the atlas: a rare risk factor for posterior circulation stroke
JF BMJ Case Reports
FD BMJ Publishing Group Ltd
SP bcr2016012731
DO 10.1136/bcr-2016-012731
VO 2017
A1 Ouyang, Zhi-yuan
A1 Qiu, Min-jian
A1 Zhao, Zhe
A1 Wu, Xiao-bing
A1 Tong, Lu-sha
YR 2017
UL http://casereports.bmj.com/content/2017/bcr-2016-012731.abstract
AB We report an extremely rare case involving a posterior arch anomaly of the atlas, causing a vertebral artery dissection (VAD) induced posterior circulation stroke. A 16-year-old girl was admitted to hospital because of new onset dizziness. VAD related multiple infarction in the posterior circulation was revealed. The congenital posterior arch anomaly of the atlas, along with instability of the atlantoaxial joint, were discovered accidentally during follow-up. This is the first case of ischemic stroke related to atlantal posterior arch aplasia and atlantoaxial instability. Although rare, it reminds us that investigation of the craniovertebral junction should be considered when stroke occurs in young patients.