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http://dx.doi.org/10.3345/kjp.2009.52.9.1044

Spontaneous intracranial internal carotid artery dissection in a child with psoriasis  

Kim, Young Ok (Departments of Pediatrics, School of Medicine, Chonnam National University)
Son, Young Jun (Departments of Pediatrics, School of Medicine, Chonnam National University)
Woo, Young Jong (Departments of Pediatrics, School of Medicine, Chonnam National University)
Yun, Sook Jung (Departments of Dermatology, School of Medicine, Chonnam National University)
Publication Information
Clinical and Experimental Pediatrics / v.52, no.9, 2009 , pp. 1044-1047 More about this Journal
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.
Keywords
Internal carotid artery dissection; Psoriasiss;
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