Cerebellar Infarction Originating from Vertebral Artery Stenosis Caused by a Hypertrophied Uncovertebral Joint
We report a case of cerebellar infarction originating from vertebral artery stenosis caused by a hypertrophied uncovertebral joint. A 38-year-old man presented with sudden onset of headache, dizziness, and dysarthria. The magnetic resonance imaging scan of the brain revealed acute infarction in the...
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| Veröffentlicht in: | Journal of stroke and cerebrovascular diseases 2012-11, Vol.21 (8), p.908.e7-908.e9 |
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| creator | Choi, Jong Mun, MD Hong, Hyeok Jin, MD, PhD Chang, Suk Ki, MD, PhD Oh, Sung Han, MD, PhD |
| description | We report a case of cerebellar infarction originating from vertebral artery stenosis caused by a hypertrophied uncovertebral joint. A 38-year-old man presented with sudden onset of headache, dizziness, and dysarthria. The magnetic resonance imaging scan of the brain revealed acute infarction in the right cerebellar hemisphere in the territory of the posterior inferior cerebellar artery (PICA) and superior cerebellar artery (SCA). Magnetic resonance, 3-dimensional computed tomographic, and conventional angiography revealed severe right vertebral artery stenosis by extrinsic compression of the hypertrophied right C5–C6 uncovertebral joint. The diagnosis was acute cerebellar infarction, which was probably caused by embolism from the right vertebral artery stenosis that was caused by the hypertrophied C5–C6 uncovertebral joint. C5–C6 anterior discectomy and fusion were performed together with direct uncovertebral joint decompression. Postoperative 3-dimensional computed tomographic angiography revealed improvement in antegrade filling in the right vertebral artery. The imaging findings for this patient and the pathogenesis of cerebellar infarction for our patient are discussed. |
| doi_str_mv | 10.1016/j.jstrokecerebrovasdis.2011.09.019 |
| format | Article |
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A 38-year-old man presented with sudden onset of headache, dizziness, and dysarthria. The magnetic resonance imaging scan of the brain revealed acute infarction in the right cerebellar hemisphere in the territory of the posterior inferior cerebellar artery (PICA) and superior cerebellar artery (SCA). Magnetic resonance, 3-dimensional computed tomographic, and conventional angiography revealed severe right vertebral artery stenosis by extrinsic compression of the hypertrophied right C5–C6 uncovertebral joint. The diagnosis was acute cerebellar infarction, which was probably caused by embolism from the right vertebral artery stenosis that was caused by the hypertrophied C5–C6 uncovertebral joint. C5–C6 anterior discectomy and fusion were performed together with direct uncovertebral joint decompression. Postoperative 3-dimensional computed tomographic angiography revealed improvement in antegrade filling in the right vertebral artery. The imaging findings for this patient and the pathogenesis of cerebellar infarction for our patient are discussed.</description><identifier>ISSN: 1052-3057</identifier><identifier>EISSN: 1532-8511</identifier><identifier>DOI: 10.1016/j.jstrokecerebrovasdis.2011.09.019</identifier><identifier>PMID: 22365284</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Brain Infarction - diagnosis ; Brain Infarction - etiology ; Brain Infarction - therapy ; Cardiovascular ; Cerebellar Diseases - diagnosis ; Cerebellar Diseases - etiology ; Cerebellar Diseases - therapy ; Cerebellar infarction ; Cerebral Angiography - methods ; Cervical Vertebrae - pathology ; Cervical Vertebrae - surgery ; Decompression, Surgical ; Diffusion Magnetic Resonance Imaging ; Humans ; Hypertrophy ; Male ; Neurology ; osteophyte ; Platelet Aggregation Inhibitors - therapeutic use ; Spinal Osteophytosis - complications ; Spinal Osteophytosis - diagnosis ; Spinal Osteophytosis - surgery ; Thrombolytic Therapy ; Tomography, X-Ray Computed ; uncovertebral joint ; vertebral artery stenosis ; Vertebrobasilar Insufficiency - diagnosis ; Vertebrobasilar Insufficiency - etiology ; Vertebrobasilar Insufficiency - therapy</subject><ispartof>Journal of stroke and cerebrovascular diseases, 2012-11, Vol.21 (8), p.908.e7-908.e9</ispartof><rights>National Stroke Association</rights><rights>2012 National Stroke Association</rights><rights>Copyright © 2012 National Stroke Association. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c459t-c1d840acff1a9ca688022ff6b1be31fa52e9b020f7f3aab607dcddb47e721ae3</citedby><cites>FETCH-LOGICAL-c459t-c1d840acff1a9ca688022ff6b1be31fa52e9b020f7f3aab607dcddb47e721ae3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2011.09.019$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27922,27923,45993</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22365284$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Choi, Jong Mun, MD</creatorcontrib><creatorcontrib>Hong, Hyeok Jin, MD, PhD</creatorcontrib><creatorcontrib>Chang, Suk Ki, MD, PhD</creatorcontrib><creatorcontrib>Oh, Sung Han, MD, PhD</creatorcontrib><title>Cerebellar Infarction Originating from Vertebral Artery Stenosis Caused by a Hypertrophied Uncovertebral Joint</title><title>Journal of stroke and cerebrovascular diseases</title><addtitle>J Stroke Cerebrovasc Dis</addtitle><description>We report a case of cerebellar infarction originating from vertebral artery stenosis caused by a hypertrophied uncovertebral joint. A 38-year-old man presented with sudden onset of headache, dizziness, and dysarthria. The magnetic resonance imaging scan of the brain revealed acute infarction in the right cerebellar hemisphere in the territory of the posterior inferior cerebellar artery (PICA) and superior cerebellar artery (SCA). Magnetic resonance, 3-dimensional computed tomographic, and conventional angiography revealed severe right vertebral artery stenosis by extrinsic compression of the hypertrophied right C5–C6 uncovertebral joint. The diagnosis was acute cerebellar infarction, which was probably caused by embolism from the right vertebral artery stenosis that was caused by the hypertrophied C5–C6 uncovertebral joint. C5–C6 anterior discectomy and fusion were performed together with direct uncovertebral joint decompression. Postoperative 3-dimensional computed tomographic angiography revealed improvement in antegrade filling in the right vertebral artery. The imaging findings for this patient and the pathogenesis of cerebellar infarction for our patient are discussed.</description><subject>Adult</subject><subject>Brain Infarction - diagnosis</subject><subject>Brain Infarction - etiology</subject><subject>Brain Infarction - therapy</subject><subject>Cardiovascular</subject><subject>Cerebellar Diseases - diagnosis</subject><subject>Cerebellar Diseases - etiology</subject><subject>Cerebellar Diseases - therapy</subject><subject>Cerebellar infarction</subject><subject>Cerebral Angiography - methods</subject><subject>Cervical Vertebrae - pathology</subject><subject>Cervical Vertebrae - surgery</subject><subject>Decompression, Surgical</subject><subject>Diffusion Magnetic Resonance Imaging</subject><subject>Humans</subject><subject>Hypertrophy</subject><subject>Male</subject><subject>Neurology</subject><subject>osteophyte</subject><subject>Platelet Aggregation Inhibitors - therapeutic use</subject><subject>Spinal Osteophytosis - complications</subject><subject>Spinal Osteophytosis - diagnosis</subject><subject>Spinal Osteophytosis - surgery</subject><subject>Thrombolytic Therapy</subject><subject>Tomography, X-Ray Computed</subject><subject>uncovertebral joint</subject><subject>vertebral artery stenosis</subject><subject>Vertebrobasilar Insufficiency - diagnosis</subject><subject>Vertebrobasilar Insufficiency - etiology</subject><subject>Vertebrobasilar Insufficiency - therapy</subject><issn>1052-3057</issn><issn>1532-8511</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkk1v1DAQhiMEol_8BeQjQkqYcb4vSGUFbdFKPbT0ajnOuDjN2oudrJR_j6MtPSAunDyynnlH82iS5CNChoDVpyEbwuTdEyny1Hl3kKE3IeOAmEGbAbavklMsc542JeLrWEPJ0xzK-iQ5C2GACJZN-TY54TyvSt4Up4ndrFk0jtKzG6ulV5Nxlt1682isnIx9ZNq7HXsgP8WZcmSXsfALu5vIumAC28g5UM-6hUl2vewj593-p4lfP6xyh5e-787Y6SJ5o-UY6N3ze57cf_t6v7lOt7dXN5vLbaqKsp1ShX1TgFRao2yVrJoGONe66rCjHLUsObUdcNC1zqXsKqh71fddUVPNUVJ-nnw4xu69-zVTmMTOBLVuacnNQSDmbcWLooaIfjmiyrsQPGmx92Yn_SIQxKpdDOJf2sWqXUArovYY8v553tztqH-J-OM5AtsjQHHpgyEvgjJkFfXGk5pE78z_zfv8V5wajTVKjk-0UBjc7G3UK1AELkDcrYew3gEiAK9rzH8DR6-6YA</recordid><startdate>20121101</startdate><enddate>20121101</enddate><creator>Choi, Jong Mun, MD</creator><creator>Hong, Hyeok Jin, MD, PhD</creator><creator>Chang, Suk Ki, MD, PhD</creator><creator>Oh, Sung Han, MD, PhD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20121101</creationdate><title>Cerebellar Infarction Originating from Vertebral Artery Stenosis Caused by a Hypertrophied Uncovertebral Joint</title><author>Choi, Jong Mun, MD ; Hong, Hyeok Jin, MD, PhD ; Chang, Suk Ki, MD, PhD ; Oh, Sung Han, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c459t-c1d840acff1a9ca688022ff6b1be31fa52e9b020f7f3aab607dcddb47e721ae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Brain Infarction - diagnosis</topic><topic>Brain Infarction - etiology</topic><topic>Brain Infarction - therapy</topic><topic>Cardiovascular</topic><topic>Cerebellar Diseases - diagnosis</topic><topic>Cerebellar Diseases - etiology</topic><topic>Cerebellar Diseases - therapy</topic><topic>Cerebellar infarction</topic><topic>Cerebral Angiography - methods</topic><topic>Cervical Vertebrae - pathology</topic><topic>Cervical Vertebrae - surgery</topic><topic>Decompression, Surgical</topic><topic>Diffusion Magnetic Resonance Imaging</topic><topic>Humans</topic><topic>Hypertrophy</topic><topic>Male</topic><topic>Neurology</topic><topic>osteophyte</topic><topic>Platelet Aggregation Inhibitors - therapeutic use</topic><topic>Spinal Osteophytosis - complications</topic><topic>Spinal Osteophytosis - diagnosis</topic><topic>Spinal Osteophytosis - surgery</topic><topic>Thrombolytic Therapy</topic><topic>Tomography, X-Ray Computed</topic><topic>uncovertebral joint</topic><topic>vertebral artery stenosis</topic><topic>Vertebrobasilar Insufficiency - diagnosis</topic><topic>Vertebrobasilar Insufficiency - etiology</topic><topic>Vertebrobasilar Insufficiency - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Choi, Jong Mun, MD</creatorcontrib><creatorcontrib>Hong, Hyeok Jin, MD, PhD</creatorcontrib><creatorcontrib>Chang, Suk Ki, MD, PhD</creatorcontrib><creatorcontrib>Oh, Sung Han, MD, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of stroke and cerebrovascular diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Choi, Jong Mun, MD</au><au>Hong, Hyeok Jin, MD, PhD</au><au>Chang, Suk Ki, MD, PhD</au><au>Oh, Sung Han, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cerebellar Infarction Originating from Vertebral Artery Stenosis Caused by a Hypertrophied Uncovertebral Joint</atitle><jtitle>Journal of stroke and cerebrovascular diseases</jtitle><addtitle>J Stroke Cerebrovasc Dis</addtitle><date>2012-11-01</date><risdate>2012</risdate><volume>21</volume><issue>8</issue><spage>908.e7</spage><epage>908.e9</epage><pages>908.e7-908.e9</pages><issn>1052-3057</issn><eissn>1532-8511</eissn><abstract>We report a case of cerebellar infarction originating from vertebral artery stenosis caused by a hypertrophied uncovertebral joint. A 38-year-old man presented with sudden onset of headache, dizziness, and dysarthria. The magnetic resonance imaging scan of the brain revealed acute infarction in the right cerebellar hemisphere in the territory of the posterior inferior cerebellar artery (PICA) and superior cerebellar artery (SCA). Magnetic resonance, 3-dimensional computed tomographic, and conventional angiography revealed severe right vertebral artery stenosis by extrinsic compression of the hypertrophied right C5–C6 uncovertebral joint. The diagnosis was acute cerebellar infarction, which was probably caused by embolism from the right vertebral artery stenosis that was caused by the hypertrophied C5–C6 uncovertebral joint. C5–C6 anterior discectomy and fusion were performed together with direct uncovertebral joint decompression. Postoperative 3-dimensional computed tomographic angiography revealed improvement in antegrade filling in the right vertebral artery. The imaging findings for this patient and the pathogenesis of cerebellar infarction for our patient are discussed.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>22365284</pmid><doi>10.1016/j.jstrokecerebrovasdis.2011.09.019</doi></addata></record> |
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| subjects | Adult Brain Infarction - diagnosis Brain Infarction - etiology Brain Infarction - therapy Cardiovascular Cerebellar Diseases - diagnosis Cerebellar Diseases - etiology Cerebellar Diseases - therapy Cerebellar infarction Cerebral Angiography - methods Cervical Vertebrae - pathology Cervical Vertebrae - surgery Decompression, Surgical Diffusion Magnetic Resonance Imaging Humans Hypertrophy Male Neurology osteophyte Platelet Aggregation Inhibitors - therapeutic use Spinal Osteophytosis - complications Spinal Osteophytosis - diagnosis Spinal Osteophytosis - surgery Thrombolytic Therapy Tomography, X-Ray Computed uncovertebral joint vertebral artery stenosis Vertebrobasilar Insufficiency - diagnosis Vertebrobasilar Insufficiency - etiology Vertebrobasilar Insufficiency - therapy |
| title | Cerebellar Infarction Originating from Vertebral Artery Stenosis Caused by a Hypertrophied Uncovertebral Joint |
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