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A rare cause of ischemic stroke in childhood: spontaneous long segment intracranial dissection

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Abstract

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.

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Authors and Affiliations

  1. Department of Pediatrics, Division of Child Neurology, Ege University Medical Faculty, 35100, Bornova, Izmir, Turkey

    Erdem Simsek, Sanem Yilmaz, Gul Aktan, Hasan Tekgul & Sarenur Gokben

  2. Department of Radiology, Division of Interventional Radiology, Ege University Medical Faculty, Izmir, Turkey

    Ismail Oran

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  1. Erdem Simsek
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  2. Sanem Yilmaz
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  3. Ismail Oran
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Correspondence to Sanem Yilmaz.

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Simsek, E., Yilmaz, S., Oran, I. et al. A rare cause of ischemic stroke in childhood: spontaneous long segment intracranial dissection. Childs Nerv Syst 36, 2871–2875 (2020). https://doi.org/10.1007/s00381-020-04530-9

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  • DOI: https://doi.org/10.1007/s00381-020-04530-9

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