title: Stent placement for the treatment of a symptomatic intracranial arterial dissection in an adolescent.
abstract: Intracranial arterial dissection is an important cause of stroke in young patients. Treatment options include observation, antiplatelet or anticoagulation regimens, and endovascular stent placement. The authors describe the case of a 14-year-old boy who presented with a symptomatic, posttraumatic dissection extending from the intracranial internal carotid artery to the middle cerebral artery. Images obtained approximately 48 hours after this incident revealed a subacute right frontal lobe infarct, and a CT stroke study (CT angiography and CT perfusion) confirmed the vascular injury and associated decreased perfusion, prompting revascularization with a self-expanding stent. The patient did well clinically after stent placement and showed no evidence of restenosis on follow-up angiography 3 and 6 months later. This report is, to the authors' knowledge, the first description of the use of a stent for a symptomatic intracranial dissection in an adolescent.
authors.affiliation: Department of Neurosurgery, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, New York, USA.
authors.forename: Mandy J
authors.initials: MJ
authors.lastname: Binning
authors.forename: Alexander A
authors.initials: AA
authors.lastname: Khalessi
authors.forename: Adnan H
authors.initials: AH
authors.lastname: Siddiqui
authors.forename: L Nelson
authors.initials: LN
authors.lastname: Hopkins
authors.forename: Elad I
authors.initials: EI
authors.lastname: Levy
mesh_terms: D000293:Adolescent; D000784:Aortic Dissection / Q000175:diagnosis / Q000628:therapy*; D015901:Angiography, Digital Subtraction; D020215:Carotid Artery, Internal, Dissection / Q000175:diagnosis / Q000628:therapy; D002404:Catheterization; D002533:Cerebral Angiography; D038524:Diffusion Magnetic Resonance Imaging; D005260:Female; D016489:Head Injuries, Closed / Q000150:complications*; D006801:Humans; D007091:Image Processing, Computer-Assisted; D020244:Infarction, Middle Cerebral Artery / Q000175:diagnosis / Q000628:therapy; D002532:Intracranial Aneurysm / Q000175:diagnosis / Q000628:therapy*; D018810:Magnetic Resonance Angiography; D009460:Neurologic Examination; D015641:Radiography, Interventional; D015607:Stents; D014057:Tomography, X-Ray Computed