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Pediatr Emerg Care 2017 Dec;33(12):e177-e179

Internal carotid artery (ICA) dissections with associated stroke are rare events in infants. The usual pathomechanisms include direct trauma to the artery, blunt intraoral trauma, or child abuse. We describe the case of a 4-month-old male patient with ICA dissection and associated middle cerebral artery territory infarction associated with hyperextension/hyperrotation after a minor head injury. Read More

Clin Neuropathol 1998 Jan-Feb;17(1):1-5

Institute of Human Anatomy, University of Padua, Italy.

Stroke caused by occlusion of an intracranial artery following blunt head trauma is a rare event. Traumatic dissections of the middle cerebral artery have been reported while thrombosis is very rare. We describe a case of fatal thrombosis of the left middle cerebral artery that occurred in the time interval between 2 and 6 hours after an apparently minor head trauma in a motor vehicle accident. Read More

Childs Nerv Syst 2011 Jul 23;27(7):1169-75. Epub 2011 Mar 23.

Department of Neurosurgery, Ehime Prefectural Central Hospital, Ehime, 790-0024, Japan.

Purpose: Although minor head injury in childhood is a common occurrence and usually no complications, posttraumatic cerebral infarction has rarely been reported. Such infarction is characterized by occlusion of the lateral lenticulostriate artery. The authors report an atypical case of posttraumatic occlusion of the internal carotid artery (ICA) after minor head injury in childhood. Read More

World Neurosurg 2019 Aug 10;128:165-168. Epub 2019 May 10.

Neurosurgical Service, KK Women's and Children's Hospital, Singapore; Department of Neurosurgery, National Neuroscience Institute, Singapore; SingHealth Duke-NUS Neuroscience Academic Clinical Program, Singapore. Electronic address:

Background: Pediatric intracranial aneurysms are extremely rare. In this age group, cerebral vascular anomalies have been associated with the development of intracranial aneurysms.

Case Description: We present a case of a previously well 11-year-old boy who presented with seizures secondary to a giant, unruptured, and partially thrombosed right middle cerebral artery (MCA) aneurysm. Read More