Trauma-induced extracranial internal carotid artery dissection leading to multiple infarcts in a young girl

Sunit P. Jariwala, J. Gerard Crowley, Sudipta Roychowdhury

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Carotid artery dissections (CADs) represent an uncommon clinical condition that should be considered in the differential diagnosis of young individuals presenting with symptoms of stroke. The basic pathological changes in CAD include a disruption in the media or intima of arterial wall, through which the affected vasculature is predisposed to aneurysm or stenosis, and subsequent stroke. Carotid artery dissection may occur spontaneously or result from trauma, an underlying arteriopathic condition, or predisposing risk factors. The heterogeneous clinical presentations of CAD represent significant diagnostic difficulties, which often lead to delays in diagnosis and treatment. Further complicating the clinical picture is the lack of consensus regarding effective treatment modalities. Because of the often-subtle findings present in CAD, the treating physician must have a high index of suspicion to accurately diagnose and manage the condition. We report extracranial internal CAD in a 17-year-old girl leading to multiple infarcts that was successfully managed with initial antiplatelet therapy and subsequent anticoagulation.

Original languageEnglish (US)
Pages (from-to)737-742
Number of pages6
JournalPediatric Emergency Care
Volume22
Issue number10
DOIs
StatePublished - Oct 2006
Externally publishedYes

Fingerprint

Internal Carotid Artery Dissection
Carotid Arteries
Dissection
Wounds and Injuries
Stroke
Tunica Intima
Causality
Aneurysm
Pathologic Constriction
Differential Diagnosis
Therapeutics
Physicians

Keywords

  • Extracranial
  • Internal carotid artery dissection
  • Stroke
  • Trauma-induced

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Nursing(all)
  • Emergency Medicine

Cite this

Trauma-induced extracranial internal carotid artery dissection leading to multiple infarcts in a young girl. / Jariwala, Sunit P.; Crowley, J. Gerard; Roychowdhury, Sudipta.

In: Pediatric Emergency Care, Vol. 22, No. 10, 10.2006, p. 737-742.

Research output: Contribution to journalArticle

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