TY  - JOUR
PY  - 1995//
TI  - Spontaneous extracranial carotid artery dissection in children
JO  - Pediatric neurology
A1  - Patel, H.
A1  - Smith, R. R.
A1  - Garg, B. P.
SP  - 55
EP  - 60
VL  - 13
IS  - 1
N2  - 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>
LA  - en
SN  - 0887-8994
UR  - http://dx.doi.org/
ID  - ref1
ER  -