{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T23:20:40Z","timestamp":1794093640036,"version":"4.8.0"},"reference-count":55,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Vertebral artery dissection (VAD) is a treatable cause of vertebrobasilar ischemic stroke and can be spontaneous or more commonly traumatic. Craniovertebral junction (CVJ) anomalies are a rare and often overlooked cause of VAD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The objective of this study was to study cases where CVJ anomaly presented as posterior circulation infarct and to conduct a relevant literature review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>The medical records of seven patients who were managed for posterior circulation infarct associated with CVJ anomaly at our center from January 2009 through August 2013 were reviewed. PubMed and MEDLINE databases were also searched for similar cases, and the published case reports\/series were reviewed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Seven patients met our inclusion criteria and were included in the study. The mean age was 17.4 years (range: 10\u201335 years). All the patients were males. The most common symptoms were headache, vomiting, and gait ataxia. Slurring of speech was seen in one patient. One patient had repeated episodes of gait ataxia with left-sided weakness with complete recovery in between the episodes. One patient presented in unconscious state. Four patients complained of vertigo. The median duration of symptoms was 7 days (range: 3 days\u201312 months).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>CVJ anomalies can present as posterior circulation infarct. One must evaluate all patients with posterior circulation stroke, especially young patients, for possible CVJ anomalies. Dynamic lateral cervical spine X-ray is an important tool to diagnose AAD. CVJ anomalies represent a treatable cause of VAD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/0028-3886.360916","type":"journal-article","created":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T03:28:48Z","timestamp":1692847728000},"page":"S149-S159","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Craniovertebral Junction Anomalies"],"prefix":"10.4103","volume":"70","author":[{"given":"Kanwaljeet","family":"Garg","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivek","family":"Tandon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajinder","family":"Kumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P Sarat","family":"Chandra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shashank S","family":"Kale","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhawani Shankar","family":"Sharma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashok K","family":"Mahapatra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R2-10-20240907","first-page":"384","article-title":"Vertebral artery dissection due to indirect neck trauma : An underrecognised entity","volume":"49","author":"Prabhakar","year":"2001","journal-title":"Neurol India"},{"key":"R3-10-20240907","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1177\/1051228405280646","article-title":"Dissection of the extracranial vertebral artery: Clinical findings and early noninvasive diagnosis in 24 patients","volume":"16","author":"Bartels","year":"2006","journal-title":"J Neuroimaging"},{"key":"R4-10-20240907","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1017\/S0317167100001025","article-title":"Vertebral artery dissection: Warning symptoms, clinical features and prognosis in 26 patients","volume":"27","author":"Saeed","year":"2000","journal-title":"Can J Neurol Sci"},{"key":"R5-10-20240907","doi-asserted-by":"crossref","first-page":"835","DOI":"10.1227\/00006123-199504000-00026","article-title":"Vertebral artery dissection related to basilar impression: Case report","volume":"36","author":"Dickinson","year":"1995","journal-title":"Neurosurgery"},{"key":"R6-10-20240907","doi-asserted-by":"crossref","first-page":"1271","DOI":"10.1034\/j.1399-6576.2000.441015.x","article-title":"Stroke following appendectomy under general anesthesia in a patient with basilar impression","volume":"44","author":"Zotter","year":"2000","journal-title":"Acta Anaesthesiol Scand"},{"key":"R7-10-20240907","doi-asserted-by":"crossref","first-page":"444","DOI":"10.3171\/jns.1980.53.4.0444","article-title":"Craniocervical abnormalities. 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