Biomaterial Database

Vertebral Artery Dissection in a Bouncy Castle Injury: Case Report and Literature Review. 2017

Valeria Ripa, and Timur M Urakov, and Sarah C Jernigan

St. George's University, Grenada, West Indies, USA.

There is an increased rate of injuries associated with activities on bouncy castles. The purpose of this article was to describe the case of a 6-year-old boy who sustained a brain infarct as a consequence of a left posterior inferior cerebellar artery dissection due to improper landing in a bouncy castle and who required a suboccipital craniotomy. The second goal was to outline the literature review regarding cervical trauma related to trampoline or bouncy castle accidents in pediatric populations. Based on the described case and reviewed studies, bouncy castle or any other activity resulting in hyperflexion or hyperextension of the neck should be carefully evaluated for cervical spine fractures and vascular injuries.

UI	MeSH Term	Description	Entries
D008297	Male		Males
D010988	Play and Playthings	Spontaneous or voluntary recreational activities pursued for enjoyment and accessories or equipment used in the activities; includes games, toys, etc.	Puppets,Toys,Play,Playthings,Plays,Plaything,Playthings and Play,Puppet,Toy
D002574	Cervical Vertebrae	The first seven VERTEBRAE of the SPINAL COLUMN, which correspond to the VERTEBRAE of the NECK.	Cervical Spine,Cervical Spines,Spine, Cervical,Vertebrae, Cervical
D002648	Child	A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL.	Children
D003399	Craniotomy	Surgical incision into the cranium.	Craniectomy,Craniectomies,Craniotomies
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D014854	Lateral Medullary Syndrome	INFARCTION of the dorsolateral aspect of MEDULLA OBLONGATA in the BRAIN STEM. It is caused by occlusion of the VERTEBRAL ARTERY and/or the posterior inferior cerebellar artery. Clinical manifestations vary with the size of infarction, but may include loss of pain and temperature sensation in the ipsilateral face and contralateral body below the chin; ipsilateral HORNER SYNDROME; ipsilateral ATAXIA; DYSARTHRIA; VERTIGO; nausea, hiccup; dysphagia; and VOCAL CORD PARALYSIS. (From Adams et al., Principles of Neurology, 6th ed, p801)	Lateral Bulbar Syndrome,Posterior Inferior Cerebellar Artery Syndrome,Wallenberg Syndrome,Dorsolateral Medullary Syndrome,Vieseaux-Wallenberg Syndrome,Wallenberg's Syndrome,Lateral Medullary Syndromes,Medullary Syndrome, Dorsolateral,Syndrome, Vieseaux-Wallenberg,Syndrome, Wallenberg,Syndromes, Lateral Medullary,Vieseaux Wallenberg Syndrome,Wallenbergs Syndrome
D020217	Vertebral Artery Dissection	Splitting of the vessel wall in the VERTEBRAL ARTERY. Interstitial hemorrhage into the media of the vessel wall can lead to occlusion of the vertebral artery, aneurysm formation, or THROMBOEMBOLISM. Vertebral artery dissection is often associated with TRAUMA and injuries to the head-neck region but can occur spontaneously.	Dissecting Vertebral Artery Aneurysm,Spontaneous Vertebral Artery Dissection,Traumatic Vertebral Artery Dissection,Vertebral Artery Dissection, Spontaneous,Vertebral Artery Dissection, Traumatic,Artery Dissection, Vertebral,Artery Dissections, Vertebral,Dissection, Vertebral Artery,Dissections, Vertebral Artery,Vertebral Artery Dissections
D020520	Brain Infarction	Tissue NECROSIS in any area of the brain, including the CEREBRAL HEMISPHERES, the CEREBELLUM, and the BRAIN STEM. Brain infarction is the result of a cascade of events initiated by inadequate blood flow through the brain that is followed by HYPOXIA and HYPOGLYCEMIA in brain tissue. Damage may be temporary, permanent, selective or pan-necrosis.	Brain Infarct,Venous Infarction, Brain,Anterior Cerebral Circulation Infarction,Anterior Circulation Brain Infarction,Anterior Circulation Infarction, Brain,Brain Infarction, Anterior Circulation,Brain Infarction, Posterior Circulation,Brain Infarction, Venous,Infarction, Anterior Cerebral Circulation,Infarction, Anterior Circulation, Brain,Infarction, Brain, Anterior Circulation,Infarction, Brain, Posterior Circulation,Infarction, Posterior Circulation, Brain,Posterior Circulation Brain Infarction,Posterior Circulation Infarction, Brain,Brain Infarctions,Brain Infarctions, Venous,Brain Infarcts,Brain Venous Infarction,Brain Venous Infarctions,Infarct, Brain,Infarction, Brain,Infarction, Brain Venous,Infarction, Venous Brain,Infarctions, Brain,Infarctions, Brain Venous,Infarctions, Venous Brain,Infarcts, Brain,Venous Brain Infarction,Venous Brain Infarctions,Venous Infarctions, Brain