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Spontaneous internal carotid artery dissection in a child diagnosed by high resolution vessel wall MRI

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Abstract

Craniocervical dissection is one of the most common causes of stroke in children. Although the most common cause of dissection is trauma, spontaneous dissections in which no cause can be revealed may also occur. The diagnosis of this type of dissection in children can be challenging with the preferred non-invasive imaging methods (MRA, CTA). Intracranial vessel wall imaging is a promising novel method for identifying specific signs of dissection. We report an 11-year-old girl with spontaneous ICA dissection, whose diagnosis was confirmed by an MRI of the intracranial vessel wall. Vessel wall imaging has contributed substantially to the diagnosis and follow-up of this case.

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Authors and Affiliations

  1. Department of Radiology, Sureyyapasa Chest Diseases and Thoracic Surgery Training Hospital, Başıbüyük Mah, Hastane Yolu Cad, Istanbul, 34844, Turkey

    Ahmet Kursat Karaman

  2. Department of Radiology, Division of Neuroradiology, Istanbul University-Cerrahpasa, Istanbul, Turkey

    Bora Korkmazer, Serdar Arslan, Osman Kızılkılıç, Naci Koçer & Civan Islak

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  1. Ahmet Kursat Karaman
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  2. Bora Korkmazer
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  3. Serdar Arslan
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  5. Naci Koçer
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Correspondence to Ahmet Kursat Karaman.

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Karaman, A.K., Korkmazer, B., Arslan, S. et al. Spontaneous internal carotid artery dissection in a child diagnosed by high resolution vessel wall MRI. Childs Nerv Syst 39, 1101–1105 (2023). https://doi.org/10.1007/s00381-022-05745-8

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