Rare Cause of Cerebellar Mutism in Childhood: Vertebral Artery Dissection

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dc.contributor.authorAslan, Mahmut
dc.contributor.authorKırık, Serkan
dc.contributor.authorÖzgör, Bilge
dc.contributor.authorGüngör, Serdal
dc.date.accessioned2021-03-12T07:10:24Z
dc.date.available2021-03-12T07:10:24Z
dc.date.issued2020
dc.departmentİnönü Üniversitesien_US
dc.descriptionDOI: https://doi.org/DOI: 10.5152/eurjther.2019.18073en_US
dc.description.abstractAbstract: Vertebral artery dissection (VAD), an extremely rare childhood disorder, constitutes 2%-3% of cerebrovascular diseases (CVDs). The annual incidence of CVD in childhood is estimated to be 3-8 per 100.000. Although it is generally observed after trauma, it could also be observed simultaneously with trauma. CVD is diagnosed by cranial magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA). However, the gold standard for CVD diagnosis is conventional angiography. A 12-years-old girl presenting with symptoms of headache and vomiting lasting for 5 days was hospitalized and followed up. In the neurological examination, muscle power in lower and upper extremes was 4/5 on the right and 2/5 on the left, while Babinski response was extensor on the left. Cranial MRA revealed a dissection in the right middle vertebral artery at the M1 segment, with vascular irregularity. Warfarin sodium was administered to the patient based on recommendation, and physical therapy was also started. Moderate recovery was observed in aphasia, and partial recovery was observed in left hemiplegia after 7 days of treatment. Cerebellar infarct and cerebellar mutism cases should be investigated for VAD. Early diagnosis and treatment are very pertinent for reduction of mortality and morbidity due to the disease. Angiography should be performed for diagnosis.en_US
dc.identifier.citationASLAN M,KIRIK S,ÖZGÖR B,GÜNGÖR S (2020). Rare Cause of Cerebellar Mutism in Childhood: Vertebral Artery Dissection. European Journal of Therapeutics, 26(2), 152 - 154. Doi: DOI: 10.5152/eurjther.2019.18073en_US
dc.identifier.doi10.5152/eurjther.2019.18073en_US
dc.identifier.endpage154en_US
dc.identifier.issn2564-7784
dc.identifier.issn2564-7040
dc.identifier.issue2en_US
dc.identifier.startpage152en_US
dc.identifier.trdizinid378296en_US
dc.identifier.urihttps://doi.org/10.5152/eurjther.2019.18073
dc.identifier.urihttps://hdl.handle.net/11616/19557
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/378296
dc.identifier.volume26en_US
dc.identifier.wosWOS:000546873400013en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.relation.ispartofEuropean Journal of Therapeuticsen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleRare Cause of Cerebellar Mutism in Childhood: Vertebral Artery Dissectionen_US
dc.typeArticleen_US

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