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Pediatric traumatic carotid, vertebral and cerebral artery dissections: a review

Martin M Mortazavi1, Ketan Verma, R Shane Tubbs

  • 1Division of Neurological Surgery, Department of Surgery, University of Alabama, Birmingham, AL, USA.

Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
|February 15, 2011
PubMed

Insights

Traumatic cerebral dissections in children are rare but serious. Current evidence on their natural history and optimal treatment is limited, necessitating further research.

Area of Science:

  • Neurology
  • Pediatric Medicine
  • Vascular Surgery

Background:

  • Traumatic cerebral dissections are uncommon yet critical conditions.
  • Improved diagnostics have increased interest, but knowledge gaps persist regarding natural history and treatment.
  • Existing literature predominantly comprises case reports and retrospective studies, lacking high-level evidence.

Purpose of the Study:

  • To review the current understanding of traumatic cerebral dissections in pediatric patients.
  • To highlight the paucity of high-level evidence (Level 1) for natural history and treatment.
  • To present a case series of pediatric dissections, occlusions, and pseudoaneurysms.

Main Methods:

  • Systematic review of existing literature on traumatic cerebral dissections.
  • Analysis of 26 case studies from a cohort of 70 pediatric patients.
  • Focus on dissections, occlusions, and pseudoaneurysms in the pediatric population.

Main Results:

  • No Level 1 evidence exists for the natural history of cerebral dissections.
  • No Level 1 evidence supports specific treatment protocols for these conditions.
  • The study includes a detailed examination of 26 pediatric cases.

Conclusions:

  • There is a significant lack of high-quality evidence regarding traumatic cerebral dissections in children.
  • Further prospective studies are crucial to establish the natural history and guide treatment decisions.
  • The presented case series contributes to the limited data available for pediatric cerebral dissections, occlusions, and pseudoaneurysms.

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