Strokes in children. Their relationship to intrinsic pathology of the carotid artery.

Vascular insufficiency of the child's brain is a serious problem because perfusion can be disturbed sufficiently enough to cause permanent brain changes with extensive neurological deficit resulting in some. The insufficiency in the seven cases presented in this article is caused by carotid artery changes including: 1) congenital kinking, 2) post-traumatic changes with thrombosis, aneurysm, and embolism, and 3) inflammatory thrombosis. We have attempted to indicate that aggressive treatment is necessary in these cases of post-traumatic changes which are progressive and lead to extensive neurological deficit.