Simsek Erdem, Yilmaz Sanem, Oran Ismail, Aktan Gul, Tekgul Hasan, Gokben Sarenur
Department of Pediatrics, Division of Child Neurology, Ege University Medical Faculty, 35100, Bornova, Izmir, Turkey.
Department of Radiology, Division of Interventional Radiology, Ege University Medical Faculty, Izmir, Turkey.
Childs Nerv Syst. 2020 Nov;36(11):2871-2875. doi: 10.1007/s00381-020-04530-9. Epub 2020 Feb 7.
Craniocervical arterial dissection is an important cause of arterial ischemic stroke in children. Recognition of dissections is of particular importance both in determining the risk of recurrence and in bringing about different treatment alternatives. We report a 10-year-old girl who presented with acute ischemic stroke due to spontaneous long segment dissection involving the parasellar internal carotid artery up to the distal M1 portion of the middle cerebral artery. Three-dimensional digital subtraction angiography with flat panel detector revealed the presence of major vessels originating from both true and false lumens and had a critical role in the treatment decision of the case.
颅颈动脉夹层是儿童动脉缺血性卒中的重要病因。认识夹层对于确定复发风险以及采用不同的治疗方案尤为重要。我们报告一名10岁女孩，她因自发性长节段夹层而出现急性缺血性卒中，该夹层累及鞍旁颈内动脉直至大脑中动脉M1段远端。平板探测器三维数字减影血管造影显示真假腔均有主要血管发出，对该病例的治疗决策起关键作用。
