Carotid artery dissection following a minor household accident in a 10-month-old child

Moriarty, John M.; Lukas, Carsten; Rößler, L.; Thiels, Charlotte; Drescher, Robert

doi:10.1007/s11845-009-0374-9

Cited by 12 publications

(9 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Specifically, sudden acceleration/deceleration and rotation of the neck can stretch and compress the ICA causing dissection [6]. Different trauma types related to ischemic stroke cases are reported in Table 2 [4,6,7,[16][17][18][19][20][21][22][23][24][25][26][27], and it must be remembered that the trauma may be mild or even unnoticed [4,5]. Sports, fights, and falls can cause CAD, but motor vehicle accidents play the most important role [8].…”

Section: Discussionmentioning

confidence: 99%

Internal Carotid Dissection as the Cause of Stroke in Childhood

Cinelli

Loizzo

Montanari

et al. 2021

Case Reports in Pediatrics

View full text Add to dashboard Cite

Internal carotid artery (ICA) dissection is a cause of stroke, but it is often underdiagnosed in children. ICAs’ risk factors and pathogenic mechanisms are poorly understood, and the treatment is still empirical. We report the case of a previously healthy 9-year-old girl who presented with involuntary hypertonic closure of the right hand associated with transient difficulty for both fine movements of the right arm and speech. She had a history of minor cervical trauma occurring 20 days prior to our observation without other associated risk factors. Magnetic resonance imaging and magnetic resonance angiography showed ischemic lesions due to the left ICA dissection. Treatment with both acetylsalicylic acid and levetiracetam allowed recanalization of the ICA associated with the resolution of clinical signs. Our clinical case suggests that the ICA dissection must be suspected early whenever a child manifests mild neurologic deficits after a cervical trauma, especially if they are associated with headache and/or cervical pain. Moreover, the management of ICA dissection must be improved.

show abstract

Section: Discussionmentioning

confidence: 99%

Internal Carotid Dissection as the Cause of Stroke in Childhood

Cinelli

Loizzo

Montanari

et al. 2021

Case Reports in Pediatrics

View full text Add to dashboard Cite

show abstract

“…A literature review revealed 21 published cases of ICAD caused by trauma. [6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21] These cases are summarized in Table I.…”

Section: Discussionmentioning

confidence: 99%

Internal carotid artery dissection following blunt head trauma: a pediatric case report and review of the literature

et al. 2020

View full text Add to dashboard Cite

Background. Internal carotid artery dissection (ICAD) is a rare but potentially devastating complication after trauma in the pediatric age group. The diagnosis of traumatic dissection is difficult and is usually recognized only when ischemic symptoms appear. We report a pediatric patient with ICAD due to blunt cerebrovascular injury (BCVI). Case. A 14-year-old boy suffered major trauma due to a motor vehicle accident. When the first aid team reached the accident site, he was intubated because of his low Glasgow Coma Score (GCS) and then transported to the nearest emergency department. Cranial computed tomography (CT) showed multiple fractures at the skull base and independent bone fragments in both carotid canals. On the 6th day; a brain magnetic resonance imaging (MRI) was performed to detect diffuse axonal injury. There was a loss of signal in the left internal carotid artery (LICA) tract but the limitation of diffusion was not associated with the same side, conversely there was a limitation of diffusion on the other side, affecting a very large area. CT angiography was performed in order to detect a filling defect and showed dissection in the LICA. The patient did not have any specific neurological symptoms associated with ICAD. Low-dose aspirin was utilized as anticoagulant therapy. On the 25th day of admission, the patient`s GCS was 14, neurologic examination showed no difference between the right and left sides. He was discharged on the 55th day of the accident and was walking without support. Conclusion. Our patient was a rare case in pediatrics due to having a clinically silent form of ICAD. It is very difficult to diagnose ICAD dissection during the early phase in cases with BCVI accompanied by multiple trauma. Even in the absence of typical neurological deficit, the possible presence of ICAD should be explored in patients with cranial fractures encompassing the skull base.

show abstract

“…In children from 1 mo up to 18 yr of age, 7.5% of arterial ischemic stroke is caused by carotid artery dissection [8]. Risk factors for carotid artery dissection are blunt neck trauma, tonsillectomy, adenotomy, other blunt oral trauma, and patients with collagen-vascular impairments (such as Marfan syndrome) [9][10][11][12][13].…”

Section: Discussionmentioning

confidence: 99%

A case of carotid artery dissection suggesting ADEM

2015

View full text Add to dashboard Cite

We present a case of a boy with recurrent left-sided hemiparesis. Early magnetic resonance imaging showed features suggesting acute disseminated encephalomyelitis (ADEM). However, he deteriorated neurologically on high dose methylprednisolone. A follow-up cerebral magnetic resonance imaging showed an extensive infarction due to carotid artery dissection. Distinguishing features between ADEM and acute stroke in childhood are described, but at early stage, it might be difficult to distinguish ADEM from acute stroke.

show abstract

Carotid artery dissection following a minor household accident in a 10-month-old child

Cited by 12 publications

References 20 publications

Internal Carotid Dissection as the Cause of Stroke in Childhood

Internal Carotid Dissection as the Cause of Stroke in Childhood

Internal carotid artery dissection following blunt head trauma: a pediatric case report and review of the literature

A case of carotid artery dissection suggesting ADEM

Contact Info

Product

Resources

About