• Pediatric neurology · Apr 2010

    Case Reports

    Endovascular therapy in pediatric intracranial carotid artery dissection.

    • Yen-Jun Lai, Feng-Chi Chang, Chung-Jung Lin, Ting-Chang Hsieh, and Kao-Lun Wang.
    • Department of Medical Imaging, Far Eastern Memorial Hospital, Taipei, Taiwan, Republic of China. torogerlai@gmail.com
    • Pediatr. Neurol. 2010 Apr 1; 42 (4): 291-4.

    AbstractIntracranial carotid dissection is an underrecognized cause of childhood stroke, and, in the face of limited therapeutic experience, its management is controversial. Reported here is the case of a 12-year-old girl who experienced an intracranial carotid artery dissection with progressive and symptomatic occlusion of the middle cerebral artery. Endovascular treatment with intra-arterial thrombolysis and stent reconstruction was successfully performed to recanalize the occluded arterial segment. Current management of intracranial carotid dissection in children is reviewed, with discussion of the reasons for aggressive endovascular intervention.Copyright 2010 Elsevier Inc. All rights reserved.

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