Occipital Bony Abnormality and multiple strokes in a paediat
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Vertebral artery dissection is a rare phenomenon in the pediatric population, and most reported cases involve overt traumatic injury. We present the case of a 15-year-old male presenting with a constellation of neurologic symptoms suggesting strokes in the vertebrobasilar system. The patient was ultimately found to have an anomalous occipital condyle bony spicule, and the authors hypothesize that this bony anomaly repeatedly traumatized his left vertebral artery, resulting in vertebral artery dissection and distal embolization. To the authors’ knowledge, this is the second reported pediatric case of stroke symptoms and vertebral artery dissection in the setting of an occipital bony spicule.

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