Transient ischemia attack of brain posterior territory as presentation form of spinal instability
Keywords:
Transient ischemic attack, Spinal instability, Dizziness, Occipital dislocationAbstract
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 yerars old suffering traffic accident and then she complaints dizziness and slurred words. In radiography we find cervical spine pedicle fracture of C2, anterior C2/C3. The listesis of the 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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References
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