Related Experiment Video

Updated: May 8, 2026

Modeling Stroke in Mice: Focal Cortical Lesions by Photothrombosis
06:07

Modeling Stroke in Mice: Focal Cortical Lesions by Photothrombosis

Published on: May 6, 2021

Acute stroke in the burn patient

Yen-Hsun Lee1, Chung-Lin Chen, Shin-Chen Pan

  • 1Division of Plastic Surgery, Department of Surgery, School of Medicine, National Cheng Kung University, Tainan, Taiwan ROC.

Journal of Burn Care & Research : Official Publication of the American Burn Association
|March 14, 2007
PubMed

Insights

A severe burn injury in a child led to a stroke caused by carotid artery dissection. This rare complication can occur even after the initial burn recovery phase.

Area of Science:

  • Pediatric Medicine
  • Neurology
  • Burn Injury Management

Background:

  • Severe burn injuries in children require extensive medical intervention.
  • Post-burn complications can manifest weeks or months after the initial injury.
  • Cerebral vascular events are a rare but serious concern in pediatric burn patients.

Observation:

  • A 3-year-old boy with a 62% total body surface area burn developed acute right-sided hemiparesis 7 days post-discharge.
  • Imaging revealed a left middle cerebral artery territory infarction.
  • Magnetic resonance angiography showed nonvisualization and thickened walls of the left distal intracranial carotid and proximal middle cerebral arteries, indicating acute dissection.

Findings:

  • Follow-up imaging 10 years later confirmed persistently thickened arterial walls, consistent with old dissection.
  • The patient's stroke was attributed to carotid artery dissection secondary to the burn injury.
  • This case highlights a delayed neurological complication in pediatric burn survivors.

Implications:

  • Carotid artery dissection should be considered in the differential diagnosis of acute stroke in pediatric burn patients.
  • Neurological monitoring may be warranted during the recovery phase of severe burn injuries.
  • Understanding rare vascular complications is crucial for comprehensive pediatric burn care and long-term outcomes.

More Related Videos

Integrated Photoacoustic, Ultrasound, and Angiographic Tomography (PAUSAT) for NonInvasive Whole-Brain Imaging of Ischemic Stroke06:45

Integrated Photoacoustic, Ultrasound, and Angiographic Tomography (PAUSAT) for NonInvasive Whole-Brain Imaging of Ischemic Stroke

Published on: June 2, 2023

A Swine Burn Model for Investigating the Healing Process in Multiple Depth Burn Wounds02:49

A Swine Burn Model for Investigating the Healing Process in Multiple Depth Burn Wounds

Published on: February 23, 2024

Related Concept Videos

Burn Injuries01:22

Burn Injuries

Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
Stroke: Introduction and Types01:29

Stroke: Introduction and Types

A stroke is an acute neurological event caused by the sudden disruption of cerebral blood flow, leading to rapid loss of neuronal function. Neurons depend on continuous oxygen and glucose supply, so even brief interruptions can cause irreversible injury within minutes. Strokes are classified into ischemic and hemorrhagic types.Ischemic StrokeIschemic strokes are most common and occur due to arterial occlusion, depriving brain tissue of oxygen and nutrients. This leads to energy failure, ionic...
Ischemic Stroke l: Introduction01:15

Ischemic Stroke l: Introduction

Ischemic stroke is an acute cerebrovascular condition in which blood flow to a brain region is suddenly interrupted, leading to tissue infarction. Neurons depend on continuous oxygen and glucose supply, so even brief reductions in perfusion cause energy failure, ionic imbalance, and irreversible injury. Ischemic strokes are classified into thrombotic and embolic types based on their underlying mechanisms.Thrombotic MechanismsThrombotic stroke develops when a clot forms within a cerebral artery.
Ischemic Stroke ll: Pathophysiology01:15

Ischemic Stroke ll: Pathophysiology

An ischemic stroke occurs when a cerebral blood vessel becomes obstructed, most often by a thrombus or embolus, interrupting the delivery of oxygen and glucose to brain tissue. Because neurons rely on continuous aerobic metabolism, energy failure begins within minutes of reduced perfusion. The region receiving the least blood flow becomes the infarct core, an area of irreversible cellular death. Surrounding this core lies the penumbra, a zone of hypoperfused but still viable tissue that is...
Hemorrhagic Stroke l: Introduction01:17

Hemorrhagic Stroke l: Introduction

A hemorrhagic stroke is an acute neurological event that occurs when a weakened cerebral blood vessel ruptures, allowing blood to accumulate within or around the brain. The sudden release of blood forms a focal hematoma that increases intracranial pressure, displaces neural tissue, and can obstruct cerebrospinal fluid pathways. These effects may be compounded by intraventricular extension of the hemorrhage, cerebral edema, or compression of adjacent structures, all of which contribute to...
Hemorrhagic Stroke ll: Pathophysiology01:29

Hemorrhagic Stroke ll: Pathophysiology

A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...