Carotid dissection and stroke after tonsillectomy and adenoidectomy.
Carotid dissection and cerebral infarction are extremely rare complications of tonsillectomy and adenoidectomy. We describe a 12-year-old boy who presented with a right internal carotid dissection and right middle cerebral artery infarction, associated with tonsillectomy and adenoidectomy. We discuss the risk factors that may predispose patients to these complications.
Division of Pediatric Neurology, Department of Neurology, Indiana University School of Medicine, Riley Hospital, Indianapolis, Indiana 46202, USA.
Karen S
KS
Carvalho
Mary
M
Edwards-Brown
Meredith R
MR
Golomb
D000233:Adenoidectomy; D002340:Carotid Artery Diseases / Q000453:epidemiology / Q000209:etiology* / Q000473:pathology; D002343:Carotid Artery, Internal / Q000473:pathology; D002648:Child; D006801:Humans; D020244:Infarction, Middle Cerebral Artery / Q000453:epidemiology / Q000209:etiology* / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology / Q000473:pathology*; D012307:Risk Factors; D014068:Tonsillectomy