Cerebral infarct secondary to traumatic carotid artery dissection.
Internal carotid artery dissection is an important cause of ischemic stroke in children and young patients. Children presenting with gross neurological abnormalities after blunt trauma to the head or neck should be considered to have sustained injury to the carotid arteries until proven otherwise. Treatment options include observation, anticoagulation and endovascular stenting, and aggressive surgical repair of the carotid artery injury. We present the case of a 7-year-old boy who had a dissection of his right internal carotid artery after a dangerous position of head upside down from a water slide.
Lin
Jainn-Jim
JJ
Division of Pediatric Neurology, Department of Pediatrics, Chang Gung Children's Hospital, Chang Gung University Medical College, Taoyuan, Taiwan.
Chou
Min-Liang
ML
Lin
Kuang-Lin
KL
Wong
Mun-Ching
MC
Wang
Huei-Shyong
HS
D020212:Carotid Artery Injuries / Q000209:etiology*; D020215:Carotid Artery, Internal, Dissection / Q000175:diagnosis / Q000209:etiology*; D002544:Cerebral Infarction / Q000175:diagnosis / Q000209:etiology*; D002648:Child; D038524:Diffusion Magnetic Resonance Imaging; D018475:Head-Down Tilt / Q000009:adverse effects*; D006429:Hemiplegia / Q000209:etiology; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D010988:Play and Playthings / Q000293:injuries*