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. 2021 Apr;10(4):1100–1116. doi: 10.21037/tp-20-205

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2021 Translational Pediatrics. All rights reserved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0.

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Vertebral artery dissection. Coronal FLAIR image (A) shows signal abnormality within the left cerebellar hemisphere and cerebellar vermis. Diffusion weighted imaging (B: B1000 and C: ADC) show diffusion restriction corresponding to the FLAIR signal abnormality in keeping with acute infarction. Axial T1W fat saturated image (D) shows intrinsic T1W hyperintensity in the upper cervical segment of the left vertebral artery. Time-of-flight MRA (E) shows a corresponding lack of normal flow within the left vertebral artery related to dissection. FLAIR, fluid attenuated inversion recovery; ADC, apparent diffusion co-efficient; MRA, MR angiogram.