What is it about?

Rare case was reported in which chronic head movement may have injured the vertebral artery resulting in occlusion of that vessel and thus caused recurrent cerebellar infarction. The mechanism of this neurological complications was discussed with regards to the way of surgical treatment for cervical spondylosis.

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Why is it important?

This case report casts warning to doctors who intend to treat cervical spondylotic myelopathy by surgical operation in a patient with involuntary movement of the neck (dystonia or athetosis).

Perspectives

Risk of vertebral artery injury will be more cautiously assessed when choosing surgical methods to the neck for patients with involuntary neck movement.

Professor Makoto Matsui
Kanazawa Medical University

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This page is a summary of: Recurrent cerebellar infarction due to vertebral artery dissection in an athetotic patient, Neurology and Clinical Neuroscience, April 2021, Wiley,
DOI: 10.1111/ncn3.12500.
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