@article{ref1,
title="Spontaneous extracranial carotid artery dissection in children",
journal="Pediatric neurology",
year="1995",
author="Patel, H. and Smith, R. R. and Garg, B. P.",
volume="13",
number="1",
pages="55-60",
abstract="Dissection of cerebral arteries as a cause of stroke is rarely recognized in children. Two patients with stroke due to extracranial carotid artery dissection are reported. A 7-year-old girl with a 2-week history of right arm chorea had a left basal ganglia infarct and is receiving haloperidol for persistent chorea. The second patient, a 15-year-old boy, developed aphasia and right hemiparesis a day before admission during an American football game without obvious trauma. He had a large left middle cerebral artery infarct and died of cerebral edema and herniation. We believe that strokes due to arterial dissection are more common than currently recognized, partly because of a lack of history of trauma, and suggest that cerebral artery dissection be considered as an etiology of childhood strokes. Greater awareness of arterial dissection as a cause of stroke and availability of noninvasive techniques like magnetic resonance angiography should result in a more accurate diagnosis and improved prognosis in these patients.<p /> <p>Language: en</p>",
language="en",
issn="0887-8994",
doi="",
url="http://dx.doi.org/"
}