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CT angiography reconstruction of a rotational vertebral artery syndrome
  1. Ines Albajar1,
  2. Jose Angel Larrea2,
  3. Miren Imaz3,
  4. Borja Laña3,
  5. Itxaso Martí3
  1. 1Neurology, University Hospital of Donostia, San Sebastian, Spain
  2. 2Radiology, Interventional Neuroradiology Section, University Hospital of Donostia, San Sebastian, Spain
  3. 3Pediatrics, University Hospital of Donostia, San Sebastian, Spain
  1. Correspondence to Dr Ines Albajar, Neurology, University Hospital of Donostia, San Sebastian, Spain; ialbajar{at}

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A 10-year-old boy presented with transient cerebellar ataxia and nystagmus during class. He denied abnormal head or neck positioning. MRI showed multiterritory acute and chronic cerebral ischaemic lesions (figure 1). This was the third event since his first presentation aged 6 years old, with a 2-day episode of gait instability and diplopia. The second episode of diplopia was associated with left dysmetria and resolved after 3 days, but his MRI of the brain demonstrated a right thalamic lesion …

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  • Contributors IA conceived the paper and wrote the manuscript with support from IM and JAL who verified the interpretation of data. MI and BL helped extract data. All authors provided critical feedback and contributed to the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.