Spontaneus Basilar Artery Dissection Presenting with
Internuclear Ophthalmoplegia

J Korean Neurol Assoc > Volume 14(3); 1996 > Article

Journal of the Korean Neurological Association 1996;14(3): 875-879.

핵간안운동장애를 주증상으로 한 자발성 기저동맥박리

변인환, 권재철, 김남곤, 권오영, 임병훈, 김재형*

경상대학교 의과대학 신경과학교실, 진단방사선과학교실*

Spontaneus Basilar Artery Dissection Presenting with Internuclear Ophthalmoplegia

I.W. Byun, M.D., J.C. Kwon, M.D., N.G. Kim, M.D., O.Y. Kwon, M.D., B.H. Lim, M.D., J.H. Kim, M.D.*

Department of neurology and Diagnostic Radiology*, College of Medicine, Gyeongsang National University

Abstract

Basilar artery dissections are very rare, clinical entity which usually result in brainstem ischemia or subarachnoid hemorrhage. The prognosis is very poor and most of the reported cases were fatal. We recently experienced a case of basilar artery dissection presenting with internuclear ophthalmoplegia and perioral paresthesia which resolved after several days with conservative management and anticoagulation. This clinical manifestation was thought to be due to brain stem transient ischemia because he recovered completely. The cause of the dissection might be the vigorous neck movement to take off the wet shirt. We present the case with brain MRI, MR angiography and digital substraction vertebrobasilar arteriography.