Carotid artery dissection following a minor household accident in a 10-month-old child

J M Moriarty1, C Lukas, L Rossler

  • 1Department of Radiology, Mater Misericordiae University Hospital, Dublin, Ireland. jonnymoriarty@yahoo.com

Insights

Minor soft palate trauma can cause internal carotid artery (ICA) dissection and stroke in children. Prompt diagnosis is crucial for managing this rare but severe complication.

Area of Science:

  • Pediatric Neurology
  • Vascular Surgery

Background:

  • Carotid artery dissection is a significant cause of ischemic stroke in children.
  • Blunt trauma to the soft palate can rarely lead to internal carotid artery (ICA) dissection, resulting in thrombosis, embolism, and stroke.

Observation:

  • A 10-month-old infant sustained minor intra-oral trauma from a fall while holding a spoon.
  • Following a symptom-free interval, the child experienced decreased consciousness.
  • Cranial imaging revealed left ICA occlusion, perivascular edema, and cerebral ischemia.

Findings:

  • The case highlights a rare instance of internal carotid artery dissection secondary to minor soft palate trauma in an infant.
  • Imaging confirmed arterial occlusion and subsequent cerebral ischemia.

Implications:

  • This case underscores the potential for severe neurological complications from seemingly minor oral trauma in children.
  • The diagnostic challenge in young children, due to delayed symptoms and assessment difficulties, necessitates high clinical suspicion for carotid dissection.
Abstract

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