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Stent placement for the treatment of a symptomatic intracranial arterial dissection in an adolescent Case report
Journal article   Peer reviewed

Stent placement for the treatment of a symptomatic intracranial arterial dissection in an adolescent Case report

Mandy J. Binning, Alexander A. Khalessi, Adnan H. Siddiqui, L. Nelson Hopkins and Elad I. Levy
Journal of neurosurgery. Pediatrics, v 6(2), pp 154-158
01 Aug 2010
PMID: 20672937
url
https://doi.org/10.3171/2010.4.PEDS1081View
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Abstract

Clinical Neurology Life Sciences & Biomedicine Neurosciences & Neurology Pediatrics Science & Technology Surgery
Intracranial arterial dissection is an important cause of stroke in young patients. Treatment options include observation, antiplatelet or anticoagulation regimens, and endovascular stent placement. The authors describe the case of a 14-year-old boy who presented with a symptomatic, posttraumatic dissection extending from the intracranial internal carotid artery to the middle cerebral artery. Images obtained approximately 48 hours after this incident revealed a subacute right frontal lobe infarct, and a CT stroke study (CT angiography and CT perfusion) confirmed the vascular injury and associated decreased perfusion, prompting revascularization with a self-expanding stent. The patient did well clinically after stent placement and showed no evidence of restenosis on follow-up angiography 3 and 6 months later. This report is, to the authors' knowledge, the first description of the use of a stent for a symptomatic intracranial dissection in an adolescent. (DOI: 10.3171/2010.4.PEDS1081)

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Web of Science research areas
Clinical Neurology
Pediatrics
Surgery
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