Korean J Pediatr.
2009 Sep;52(9):1044-1047. 10.3345/kjp.2009.52.9.1044.
Spontaneous intracranial internal carotid artery dissection in a child with psoriasis
- Affiliations
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- 1Department of Pediatrics, School of Medicine, Chonnam National University, Gwangju, Korea. yjwoo@chonnam.ac.kr
- 2Department of Dermatology, School of Medicine, Chonnam National University, Gwangju, Korea.
- KMID: 2281262
- DOI: http://doi.org/10.3345/kjp.2009.52.9.1044
Abstract
- A 13-year-old girl with psoriasis of the elbow, trunk, and face suddenly developed a severe headache followed by left hemiparesis and facial palsy. Brain magnetic resonance imaging showed an acute infarction of the right temporofrontal lobe and basal ganglia on the T2- and diffusion-weighted images. Cerebral angiography showed pre-occlusive irregular scalloped stenosis (99%) in the proximal M1 segment of the right middle cerebral artery and a web-like stenosis at the supraclinoid portion of the right internal carotid artery (ICA) suggestive of a spontaneous intracranial ICA dissection. The patient was administered a low dose of dipyridamole, and a rehabilitation program was initiated. Headache, left motor weakness, and facial droop improved within a week. However, mild left facial palsy and reduced fine motor function of the left hand were still present after 3 weeks. We report a rare case of spontaneous intracranial ICA dissection in a child with psoriasis.
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