Internal carotid artery (ICA) dissection with associated stroke?is?rare event in children. The usual mechanism is either direct trauma or sudden neck movements. We describe the case of a 3-year-old patient admitted with right hemiplegia following a stroke. The diagnosis was confirmed by ANGIO-MRI. During treatment with anticoagulants and antiplatelet agents, the patient showed significant improvement?in?the right-sided hemiplegia. Minor head trauma is a possible pathological mechanism for ICA dissection in children. However, the scenario is extremely rare.
References
[1]
Zant, R., Melter, M., Doerfler, C., Schlachetzki, F., Jung, E.-M., Schilling, S. and Kunkel, J. (2017) Carotid Artery Dissection with Associated Territory Stroke after a Minor Head Trauma in a Healthy 4-Month-Old Child. Pediatric Emergency Care, 33, e177-e179. https://doi.org/10.1097/PEC.0000000000000834
[2]
Hassen, W.B., Machet, A., Edjlali-Goujon, M., Legrand, L., Ladoux, A. and Mellerio, C. (2014) Imaging of Cervical Artery Dissection. Diagnostic and Interventional Imaging, 95, 1151-1161. https://doi.org/10.1016/j.diii.2014.10.003
[3]
Orman, G., Tekes, A., Poretti, A., Robertson, C. and Huisman, A. (2014) Posttraumatic Carotid Artery Dissection in Children: Not to Be Missed! Journal of Neuroimaging: Official Journal of the American Society of Neuroimaging, 24, 467-472.
https://doi.org/10.1111/jon.12071
[4]
Chabrier, S., Lasjaunias, P., Husson, B., Landrieu, P. and Tardieu, M. (2003) Ischaemic Stroke from Dissection of the Craniocervical Arteries in Childhood: Report of 12 Patients. European Journal of Paediatric Neurology, 7, 39-42.
https://doi.org/10.1016/S1090-3798(02)00138-1
Lee, E.H., Yum, M.S. and Ko, T.S. (2012) Risk Factors and Clinical Outcomes of Childhood Ischemic Stroke in a Single Korean Tertiary Care Center. Journal of Child Neurology, 27, 485-491. https://doi.org/10.1177/0883073811420297
[7]
Mann, C.I., Dietnich, R.B., Schrader, M.T., Peck, W.W., Demos, D.S. and Bradley, W.G. (1993) Posttraumatic Carotid Artery Dissection in Children: Evaluation with MR Angiography. American Journal of Roentgenology, 160, 134-136.
https://doi.org/10.2214/ajr.160.1.8416609