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ISSN 2225-4676 (Electronic)

2014, Number 1

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Rev Cubana Neurol Neurocir 2014; 4 (1)

Transient ischemia attack of brain posterior territory as presentation form of spinal instability

Olazábal AI, Pereira JK

Language: Spanish
References: 11
Page: 49-52
PDF size: 289.34 Kb.


ABSTRACT

Introduction: The posterior circulation of the brain is mainly guaranteed by the vertebral arteries and their tributaries. These arteries between intervertebral foramina of the cervical spine and it´s intracranial portion may be vulnerable to certain disorders, like spinal–medullary traumas.
Clinical case: Female patient, 24 year old, with history of traffic accident and then her complaint dizziness and slurred words. In radiography we find cervical spine pedicle fracture of C2, and anterior displacement of C2/C3. The cervical displacement in this patient produced a worsened clinical manifestations and then is diagnosed the occipito–atlal dislocation. Halo skull–chest is placed and after that the neurological manifestations disappeared.
Conclusions: The transient ischemic attacks in the posterior area of the brain may be the neurological clinical presentation of upper spinal spine instability.


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