{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T08:53:36Z","timestamp":1781081616074,"version":"3.54.1"},"reference-count":10,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["PED"],"published-print":{"date-parts":[[2011,3]]},"abstract":"<jats:p>Vertebral artery dissection (VAD) is rare in children but is increasingly recognized as a cause of stroke in the pediatric population. Traditionally, VAD was thought to be attributable to either trauma or spontaneous dissections. Recently, several underlying causes, such as bony cervical abnormalities, connective tissue diseases, and infection, have been determined to account for spontaneous VAD or those cases associated with only minor trauma. Two pediatric cases of VAD are presented, both caused by bony cervical abnormalities and each treated with different surgical procedures for symptom resolution. The first case required suboccipital decompression and endovascular sacrifice of the vertebral artery. The second case was treated with surgical decompression of the foramen transversarium at C-1 and C-2. The treatment of both of these patients required accurate diagnosis via cervical spine CT to define the bone anatomy and delineate a cause for what was originally theorized to be spontaneous VAD.<\/jats:p>","DOI":"10.3171\/2010.12.peds10106","type":"journal-article","created":{"date-parts":[[2011,3,3]],"date-time":"2011-03-03T07:18:41Z","timestamp":1299136721000},"page":"272-275","source":"Crossref","is-referenced-by-count":14,"title":["Cervical abnormalities causing vertebral artery dissection in children"],"prefix":"10.3171","volume":"7","author":[{"given":"Cara L.","family":"Sedney","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles L.","family":"Rosen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-0070272","series-title":"Dev Med Child Neurol","doi-asserted-by":"publisher","first-page":"491","DOI":"10.1017\/S0012162201000901","article-title":"Tethering of the vertebral artery in the congenital arcuate foramen of the atlas vertebra: a possible cause of vertebral artery dissection in children","volume":"43","author":"Cushing","year":"2001"},{"key":"b2-0070272","series-title":"Bull Johns Hopkins Hosp","first-page":"168","article-title":"Syncope, vertigo and disturbances of vision resulting from intermittent obstruction of the vertebral arteries due to defect in the odontoid process and excessive mobility of the second cervical vertebra","volume":"91","author":"Ford","year":"1952"},{"key":"b3-0070272","series-title":"J Neurol","doi-asserted-by":"publisher","first-page":"741","DOI":"10.1007\/s00415-006-0109-z","article-title":"Elevated inflammatory laboratory parameters in spontaneous cervical artery dissection as compared to traumatic dissection: a retrospective case-control 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anomaly","volume":"129","author":"Singer","year":"1975"}],"container-title":["Journal of Neurosurgery: Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-pediatr\/7\/3\/article-p272.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-pediatr\/7\/3\/article-p272.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-pediatr\/7\/3\/article-p272.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,15]],"date-time":"2023-04-15T15:29:56Z","timestamp":1681572596000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-pediatr\/7\/3\/article-p272.xml"}},"subtitle":["Report of 2 cases"],"short-title":[],"issued":{"date-parts":[[2011,3]]},"references-count":10,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.3171\/2010.12.peds10106","relation":{},"ISSN":["1933-0707","1933-0715"],"issn-type":[{"value":"1933-0707","type":"print"},{"value":"1933-0715","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,3]]}}}