Internal Carotid Artery Dissection After a Roller Coaster Ride in a 4-Year-Old: Case Report and Review of the Literature

被引：12

作者：

Nouh, Amre ^{[1
]}

Vela-Duarte, Daniel ^{[2
]}

Grobelny, Thomas ^{[3
]}

Hoganson, George ^{[4
]}

Pasquale, David ^{[5
]}

Biller, Jose ^{[2
]}

机构：

[1] Univ Connecticut, Hartford Hosp, Dept Neurol, Hartford, CT 06112 USA

[2] Loyola Univ, Chicago Stritch Sch Med, Dept Neurol, Maywood, IL 60153 USA

[3] Advocate Christ Med Ctr, Dept Neuroradiol, Oak Lawn, IL USA

[4] Loyola Univ, Chicago Stritch Sch Med, Maywood, IL 60153 USA

[5] Loyola Univ, Chicago Stritch Sch Med, Dept Radiol, Maywood, IL 60153 USA

来源：

PEDIATRIC NEUROLOGY | 2015年 / 52卷 / 03期

关键词：

cervical carotid artery dissection; roller coaster; amusement park; pediatric strokes; STROKE; ASSOCIATION; STATEMENT;

D O I：

10.1016/j.pediatrneurol.2014.11.007

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

BACKGROUND: Strokes associated with roller-coaster rides are unusual. PATIENT: A previously healthy 4-year-old boy developed acute onset of left-sided weakness when flying home from a trip to an amusement park. He had frequented two roller coaster rides the day prior. Upon evaluation, he was found to have an acute right middle cerebral artery territory infarction. RESULTS: Cerebral angiography showed dissection of the right cervical internal carotid artery and right middle cerebral artery occlusion involving the M1 segment. He was treated with aspirin. Evaluation for underlying connective tissue diseases was unremarkable. CONCLUSION: We speculate that repetitive forces of acceleration and deceleration may have led to a cervical internal carotid artery intimal tear, followed by thromboembolism. It remains uncertain what the threshold of susceptibility to repetitive rotational changes and tolerability to G forces in an otherwise healthy child truly is.

引用

页码：349 / 351

页数：3

共 13 条

[1] Cervical Arterial Dissections and Association With Cervical Manipulative Therapy A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association [J].