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CC BY 4.0 · Journal of Child Science 2023; 13(01): e134-e138
DOI: 10.1055/s-0043-1778034
Case Report

Anterior Spinal Artery Syndrome in a 14-Year-Old Boy

Fabian Watermeyer
1   Department of Pediatrics, Cantonal Hospital Münsterlingen, Münsterlingen, Switzerland
,
Martha L. Stampfli
1   Department of Pediatrics, Cantonal Hospital Münsterlingen, Münsterlingen, Switzerland
,
Markus Hahn
2   Department of Intensive Care and Neonatology, Children's Hospital of Eastern Switzerland St. Gallen, St. Gallen, Switzerland
,
Stefan Markart
3   Department of Radiology, Cantonal Hospital St. Gallen, St. Gallen, Switzerland
,
Peter Gessler
1   Department of Pediatrics, Cantonal Hospital Münsterlingen, Münsterlingen, Switzerland
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Abstract

Acute flaccid paralysis caused by anterior spinal artery syndrome (ASAS) is rare in children. It typically manifests as bilateral loss of motor function, pain, and temperature sensation below the level of occlusion, with relatively little impairment in proprioception and vibration sense. We present such a case in a 14-year-old child who presented with a sudden onset of neck pain followed by the typical symptoms of ASAS with impaired breathing due to the height of the lesion, which was found in the magnetic resonance imaging examination at the level of C1–5. An initially suspected thrombogenic cause proved inapplicable. Ultimately, despite extensive diagnosis, as in most cases of ASAS in children, the cause remains unclear.

Keywords

acute flaccid paralysis - spinal cord infarction - anterior spinal artery syndrome - neck pain - thrombolysis

Authors' contribution

F.W. and P.G. concepted and drafted the manuscript, and reviewed and revised the manuscript. M.H., M.S., and S.M. had all significant parts of the conception of the manuscript, and they all critically reviewed it and revised it for important intellectual content.


All authors approved the final manuscript as submitted and agreed to be responsible for all aspects of the work.




Publikationsverlauf

Eingereicht: 07. August 2023

Angenommen: 18. November 2023

Artikel online veröffentlicht:
29. Dezember 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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