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Performing Permanent Distal Middle Cerebral with Common Carotid Artery Occlusion in Aged Rats to Study Cortical Ischemia with Sustained Disability
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A rare cause of ischemic stroke in childhood: spontaneous long segment intracranial dissection

Erdem Simsek1, Sanem Yilmaz2, Ismail Oran3

  • 1Department of Pediatrics, Division of Child Neurology, Ege University Medical Faculty, 35100, Bornova, Izmir, Turkey.

Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
|February 9, 2020
PubMed

Insights

Pediatric arterial ischemic stroke can result from craniocervical arterial dissection. Prompt recognition and advanced imaging like 3D DSA are crucial for effective treatment and managing recurrence risk in children.

Area of Science:

  • Neurology
  • Pediatric Stroke
  • Vascular Imaging

Background:

  • Craniocervical arterial dissection is a significant cause of ischemic stroke in children.
  • Early identification of dissections is vital for prognosis and treatment planning.
  • Pediatric stroke requires specialized diagnostic and therapeutic approaches.

Observation:

  • A 10-year-old girl experienced an acute ischemic stroke.
  • The stroke was attributed to a spontaneous, long-segment dissection of the internal carotid artery extending to the middle cerebral artery.
  • Three-dimensional digital subtraction angiography (3D DSA) with flat-panel detector was utilized for imaging.

Findings:

  • The 3D DSA revealed complex vascular anatomy, including major vessels arising from both true and false lumens of the dissected artery.
  • This detailed imaging provided critical information for surgical or interventional treatment decisions.
  • The case highlights a rare presentation of pediatric internal carotid artery dissection.

Implications:

  • Accurate diagnosis of pediatric craniocervical arterial dissection is essential for stroke management.
  • Advanced imaging techniques like 3D DSA improve understanding of complex dissections.
  • This case underscores the importance of considering arterial dissection in pediatric stroke evaluations.

Keywords:
DissectionIntracranialPediatricSpontaneousStroke

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