Spontaneous internal carotid artery dissection in a child diagnosed by high resolution vessel wall MRI

Craniocervical dissection is one of the most common causes of stroke in children. Although the most common cause of dissection is trauma, spontaneous dissections in which no cause can be revealed may also occur. The diagnosis of this type of dissection in children can be challenging with the preferr...

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Bibliographic Details
Published in:Child's nervous system 2023-04, Vol.39 (4), p.1101-1105
Main Authors: Karaman, Ahmet Kursat, Korkmazer, Bora, Arslan, Serdar, Kızılkılıç, Osman, Koçer, Naci, Islak, Civan
Format: Article
Language:English
Subjects:
Carotid Artery, Internal
Carotid Artery, Internal, Dissection - complications
Carotid Artery, Internal, Dissection - diagnostic imaging
Case Report
Child
Female
Humans
Magnetic Resonance Imaging - methods
Medicine
Medicine & Public Health
Neurosciences
Neurosurgery
Stroke - etiology
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Summary:Craniocervical dissection is one of the most common causes of stroke in children. Although the most common cause of dissection is trauma, spontaneous dissections in which no cause can be revealed may also occur. The diagnosis of this type of dissection in children can be challenging with the preferred non-invasive imaging methods (MRA, CTA). Intracranial vessel wall imaging is a promising novel method for identifying specific signs of dissection. We report an 11-year-old girl with spontaneous ICA dissection, whose diagnosis was confirmed by an MRI of the intracranial vessel wall. Vessel wall imaging has contributed substantially to the diagnosis and follow-up of this case.
ISSN:0256-7040
1433-0350
DOI:10.1007/s00381-022-05745-8