Spontaneous internal carotid artery dissection in a child diagnosed by high resolution vessel wall MRI

Karaman A. K., KORKMAZER B., ARSLAN S., KIZILKILIÇ O., KOÇER N., Islak C.

CHILDS NERVOUS SYSTEM, vol.39, no.4, pp.1101-1105, 2023 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 39 Issue: 4
  • Publication Date: 2023
  • Doi Number: 10.1007/s00381-022-05745-8
  • Journal Name: CHILDS NERVOUS SYSTEM
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, BIOSIS, EMBASE, MEDLINE
  • Page Numbers: pp.1101-1105
  • Keywords: Dissection, Internal carotid artery, Vessel wall imaging, Neuroimaging
  • Istanbul University Affiliated: Yes

Abstract

Craniocervical dissection is one of the most common causes of stroke in children. Although the most common cause of dissection is trauma, spontaneous dissections in which no cause can be revealed may also occur. The diagnosis of this type of dissection in children can be challenging with the preferred non-invasive imaging methods (MRA, CTA). Intracranial vessel wall imaging is a promising novel method for identifying specific signs of dissection. We report an 11-year-old girl with spontaneous ICA dissection, whose diagnosis was confirmed by an MRI of the intracranial vessel wall. Vessel wall imaging has contributed substantially to the diagnosis and follow-up of this case.