title: [Acute ischemic stroke in female adolescent - Case report].
abstract: During soccer practice a fifteen year old girl experienced a sudden onset of pain in the left side of her neck and collapsed. Upon arrival at the emergency room she had right hemiparesis and expressive aphasia. On CT angiography a left carotid arterial dissection was suspected. Symptoms improved during the first three days but worsened again on the fourth and a CT scan showed an ischemic area in the brain. Conventional angiography showed decreased perfusion in the left middle cerebral artery but no evidence of dissection or thrombus. The most likely diagnosis was thought to be reverse cerebral vasoconstriction syndrome and the girl was treated with calcium channel inhibitors. Here we report the case and review the literature.
authors.forename: Anna
authors.initials: A
authors.lastname: Stefánsdóttir
authors.forename: Áskell
authors.initials: Á
authors.lastname: Löve
authors.forename: Sóley Gudrún
authors.initials: SG
authors.lastname: Thrainsdottir
authors.forename: Pétur
authors.initials: P
authors.lastname: Ludvígsson
mesh_terms: D000293:Adolescent; D002545:Brain Ischemia / Q000175:diagnosis / Q000209:etiology; D002121:Calcium Channel Blockers / Q000627:therapeutic use; D002533:Cerebral Angiography / Q000379:methods; D005260:Female; D006801:Humans; D020244:Infarction, Middle Cerebral Artery / Q000175:diagnosis / Q000209:etiology; D008279:Magnetic Resonance Imaging; D011237:Predictive Value of Tests; D012307:Risk Factors; D014057:Tomography, X-Ray Computed; D014665:Vasodilator Agents / Q000627:therapeutic use; D020301:Vasospasm, Intracranial / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy
chemical_list: D002121:Calcium Channel Blockers; D014665:Vasodilator Agents