Backward somersault as a cause of childhood stroke: a case report of isolated middle cerebral artery dissection in an adolescent boy
| Autor: | Shyi-Jou Chen, Hung-Wen Kao, Ko-Chiang Hsu |
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| Rok vydání: | 2007 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Gymnastics Dissection (medical) Aneurysm medicine.artery medicine Humans Paralysis cardiovascular diseases Stroke medicine.diagnostic_test Arterial dissection business.industry Magnetic resonance imaging Intracranial Aneurysm General Medicine medicine.disease Surgery Aortic Dissection Middle cerebral artery Angiography Emergency Medicine Recreation Differential diagnosis business |
| Zdroj: | The American journal of emergency medicine. 26(4) |
| ISSN: | 1532-8171 |
| Popis: | Arterial dissection is a rare but serious cause of acute childhood stroke. Here, we present the case of a 15-year-old adolescent boy, an art school student, who suddenly experienced left hemi-paralysis after performing repeated backward somersaults, diagnosed as right-sided middle cerebral artery (MCA) hyperacute infarct due to isolated MCA dissection. Middle cerebral artery dissection in childhood is rare, as in our patient; however, pediatricians and emergency physicians should take MCA dissection into consideration in the differential diagnosis when hyperdense MCA sign is detected from unenhanced cranial computed tomography (CT) of childhood and/or adolescent stroke, with a special history such as backward somersault as in this case. Besides, unenhanced cranial CT and further imaging studies, including CT angiography and magnetic resonance imaging, provide a crucial role in early diagnosis to design proper treatment of acute childhood stroke in the ED. |
| Databáze: | OpenAIRE |
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