Bretón Martínez J R, Muñoz Bonet J I, Llopis Garrido M C, Núñez Gómez F, Lacruz Pérez L, Cánovas Martínez A, Hernández Marco R
Servicio de Pediatría, Hospital Universitario Dr Peset, Valencia, España.
An Pediatr (Barc). 2003 Sep;59(3):286-9. doi: 10.1016/s1695-4033(03)78179-x.
Dissection of the internal carotid artery is an important cause of ischemic stroke in children and young patients. Trauma and/or an underlying structural defect of the arterial wall have been suggested to be predisposing factors. The typical patient presents with ipsilateral headache or neck pain, ipsilateral Horner's syndrome and delayed ischemic symptoms. Diagnosis is given by ultrasound, transcranial Doppler, magnetic resonance imaging, magnetic resonance angiography and conventional angiography. Treatment of this type of injury includes anticoagulation therapy, antiplatelet therapy and surgery. We report a 14-year-old boy with internal carotid artery dissection who presented with ischemic stroke.
颈内动脉夹层是儿童和年轻患者缺血性卒中的重要病因。创伤和/或动脉壁潜在的结构缺陷被认为是易感因素。典型患者表现为同侧头痛或颈部疼痛、同侧霍纳综合征以及延迟出现的缺血症状。通过超声、经颅多普勒、磁共振成像、磁共振血管造影和传统血管造影进行诊断。这类损伤的治疗包括抗凝治疗、抗血小板治疗和手术。我们报告了一名14岁患有颈内动脉夹层并出现缺血性卒中的男孩。
