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A Recognizable Clinical Entity

Darryl C. DeVivo, MD; Frank W. Farrell, Jr., MD

Arch Neurol. 1972;26(3):278-281.

Abstract
A 10-year-old boy experienced many brief episodes of neurological dysfunction over an eight-month period culminating in a major deficit for which he was hospitalized. Transient features included diplopia, sense of dizziness, confusion, and language disturbances. Admission followed onset of a right sensorimotor disturbance associated with a right appendicular ataxia and anisocorla. Angiography demonstrated a total occlusion of left vertebral artery at two sites and segmental narrowing of the right vertebral artery at the level of the second cervical vertebra, with attenuated flow of dye in the left posterior cerebral artery. Clinical and radiographic findings suggested repeated ischemic insults to the left thalamic area and upper mid-brain, possibly from recurrent microembolization, and two of the six other reported cases of vertebrobasilar occlusive disease in children share similar findings suggesting a recognizable neurological entity.

Author Affiliations
St. Louis

From the departments of pediatrics and neurology (Dr. DeVivo) and radiology (Dr. Farrell), Washington University School of Medicine, St. Louis.

Footnotes
Accepted for publication Dec 6, 1971.

Reprint requests to the Department of Pediatrics, St. Louis Children's Hospital, 500 S Kingshighway Blvd, St. Louis 63110 (Dr. DeVivo).

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