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CC BY-NC-ND 4.0 · Asian J Neurosurg 2020; 15(03): 716-718
DOI: 10.4103/ajns.AJNS_146_20
Case Report

Acute ischemic stroke due to internal carotid artery dissection in a 10-year-old child

Saori Otake
Department of Neurosurgery, Kimitsu Chuo Hospital, Kisarazu City, Chiba
,
Yosuke Tajima
Department of Neurosurgery, Kimitsu Chuo Hospital, Kisarazu City, Chiba
,
Michihiro Hayasaka
Department of Neurosurgery, Kimitsu Chuo Hospital, Kisarazu City, Chiba
,
Tomohiro Sugiyama
Department of Neurosurgery, Kimitsu Chuo Hospital, Kisarazu City, Chiba
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A 10-year-old girl was transferred to our hospital with left hemiparesis. Diffusion-weighted magnetic resonance imaging (MRI) of the brain showed a signal lesion in the right posterior limb of the internal capsule and magnetic resonance angiography showed poor visualization of the right internal carotid artery (ICA), and a defect area was present in a part of the supraclinoid portion of the right ICA. Based on the clinical and radiological findings, the patient was diagnosed with ischemic stroke due to right ICA dissection (ICAD). She received 5 days of intravenous argatroban followed by oral aspirin. A month later, her hemiparesis markedly improved. As early diagnosis of ICAD is crucial for prompt treatment in children with unexplained gross neurologic abnormalities, this disease should be suspected and MRI should be performed even without a history of blunt trauma to the head and neck.

Key-words:

Acute stroke - internal carotid artery dissection - magnetic resonance angiography

Financial support and sponsorship

Nil.




Publication History

Received: 08 April 2020

Accepted: 11 May 2020

Article published online:
16 August 2022

© 2020. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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