Endovascular Therapy in Pediatric Intracranial Carotid Artery Dissection

Lai, Yen-Jun; Chang, Feng-Chi; Lin, Chung-Jung; Hsieh, Ting-Chang; Wang, Kao-Lun

doi:10.1016/j.pediatrneurol.2009.12.002

« Previous Next »Pediatric Neurology
Volume 42, Issue 4 , Pages 291-294, April 2010

Endovascular Therapy in Pediatric Intracranial Carotid Artery Dissection

Yen-Jun Lai, MD
- Department of Medical Imaging, Far Eastern Memorial Hospital, Taipei, Taiwan, Republic of China
- Communications should be addressed to: Dr. Lai; Department of Medical Imaging, Far Eastern Memorial Hospital, 21, Nan-Ya S. Rd., Sec.2 Pan-Chiao, Taipei, Taiwan, Republic of China.
Feng-Chi Chang, MD
- Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan, Republic of China
- Department of Radiology, School of Medicine, National Yang-Ming University, Taipei, Taiwan, Republic of China
Chung-Jung Lin, MD
- Department of Medical Imaging, Far Eastern Memorial Hospital, Taipei, Taiwan, Republic of China
- Department of Radiology, School of Medicine, National Yang-Ming University, Taipei, Taiwan, Republic of China
Ting-Chang Hsieh, MD
- Department of Pediatrics, Far Eastern Memorial Hospital, Taipei, Taiwan, Republic of China
Kao-Lun Wang, MD
- Department of Medical Imaging, Far Eastern Memorial Hospital, Taipei, Taiwan, Republic of China

Received 26 July 2009; accepted 8 December 2009.

Intracranial carotid dissection is an underrecognized cause of childhood stroke, and, in the face of limited therapeutic experience, its management is controversial. Reported here is the case of a 12-year-old girl who experienced an intracranial carotid artery dissection with progressive and symptomatic occlusion of the middle cerebral artery. Endovascular treatment with intra-arterial thrombolysis and stent reconstruction was successfully performed to recanalize the occluded arterial segment. Current management of intracranial carotid dissection in children is reviewed, with discussion of the reasons for aggressive endovascular intervention.