title: Bilateral internal carotid artery occlusions in a pediatric patient with refractory acute myeloid leukemia.
abstract: Thromboembolism is a well-known complication of cancer including acute myeloid leukemia (AML) especially in patients with high myeloblast counts. However, spontaneous vaso-occlusion in the main arteries is very rare especially in patients with low blast counts and no pre existing vasculopathy. We report the case of a 3-year-old male with refractory AML who developed spontaneous bilateral internal carotid artery occlusion with diffuse cerebral infarcts. Strokes are rarely secondary to spontaneous carotid artery thrombosis and few cases have been reported in the literature.
authors.affiliation: East Carolina University Brody School of Medicine, Greenville, NC, USA. fuhb@ecu.edu
authors.forename: Beng
authors.initials: B
authors.lastname: Fuh
authors.forename: Joseph
authors.initials: J
authors.lastname: Lurito
authors.forename: Mauro
authors.initials: M
authors.lastname: Grossi
authors.forename: Charles
authors.initials: C
authors.lastname: Daeschner
authors.forename: Suzanne
authors.initials: S
authors.lastname: Russo
mesh_terms: D002343:Carotid Artery, Internal; D016893:Carotid Stenosis / Q000209:etiology* / Q000473:pathology; D002544:Cerebral Infarction / Q000209:etiology* / Q000473:pathology; D002675:Child, Preschool; D006801:Humans; D015470:Leukemia, Myeloid, Acute / Q000150:complications*; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D008297:Male