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Ultraschall Med 2023; 44(03): e164-e167
DOI: 10.1055/a-1756-4667
Case Report

Dissection of the Brachiocephalic Trunk with Subsequent Occlusion of Both Common Carotid Arteries in a Newborn with an Aortic Arch Variant – From Cerebral Doppler Ultrasound to Diagnosis

Geburtstraumatische Dissektion des Truncus brachiocephalicus mit nachfolgendem Verschluss beider Arteriae Carotides communes bei einem Neugeborenen mit einer Aortenbogenvariante– vom cerebralen Dopplerultraschall zur Diagnose
Simone Schwarz 
1   Department of Pediatrics, Sana Kliniken Duisburg GmbH, Duisburg, Germany (Ringgold ID: RIN39750)
,
Gleb Tarusinov
2   Department of Pediatric Cardiology, Herzzentrum Duisburg, Duisburg, Germany (Ringgold ID: RIN14945)
,
Francisco Brevis
1   Department of Pediatrics, Sana Kliniken Duisburg GmbH, Duisburg, Germany (Ringgold ID: RIN39750)
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Introduction

Dissections of cervicocephalic arteries are rarely reported causes of neonatal ischemic stroke. In these reported cases, vascular dissections were presumably caused by direct vascular damage or stretch injury related to a traumatic delivery [J. Fluss et al. Eur J Paediatr Neurol 2016; 20:639–648]. Neonatal ischemic stroke is often missed initially because symptoms are nonspecific, mild, or absent and occur with a time delay [KH. Deeg et al. Ultraschall in Med 2017; 38:360–376]. The following case illustrates how cerebral Doppler ultrasound can contribute to early diagnosis and elucidation of complex vascular pathologies.



Publikationsverlauf

Eingereicht: 07. Oktober 2021

Angenommen nach Revision: 23. Januar 2022

Artikel online veröffentlicht:
24. Februar 2022

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