Supraclinoid carotid dissection in a pediatric patient


      The authors present the case of a 13-year-old boy with a left temporal lobe infarction that developed during a 400-m run. Magnetic resonance (MR) angiography showed segmental narrowing of the left supraclinoid internal carotid artery (ICA) and a duplicated left middle cerebral artery (MCA). MR angiographic source images revealed a crescent-shaped left carotid lumen, indicative of a supraclinoid carotid dissection.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Clinical Imaging
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Gelbert F
        • Assouline E
        • Hodes JE
        • Reizine D
        • Woimant F
        • George B
        • Hagueneau M
        • Merland JJ
        MRI in spontaneous dissection of vertebral and carotid arteries, 15 cases studied at 0.5 tesla.
        Neuroradiology. 1991; 33: 111-113
        • Levy C
        • Laissy JP
        • Raveau V
        • Amarenco P
        • Servois V
        • Bousser MG
        • Tubiana JM
        Carotid and vertebral artery dissections: three-dimensional time-of-flight MR angiography and MR imaging versus conventional angiography.
        Radiology. 1994; 190: 97-103
        • Provenzale JM
        • Barboriak DP
        • Taveras JM
        Exercise-related dissection of craniocervical arteries: CT, MR, and angiographic findings.
        J Comput-Assisted Tomogr. 1995; 19: 268-276
        • Klufas RA
        • Hsu L
        • Barnes PD
        • Patel MR
        • Schwartz RB
        Dissection of the carotid and vertebral arteries: imaging with MR angiography.
        AJR, Am J Roentgenol. 1995; 164: 673-677
        • Provenzale JM
        Dissection of the internal carotid and vertebral arteries: imaging features.
        AJR, Am J Roentgenol. 1995; 165: 1099-1104
        • Ozdoba C
        • Sturzenegger M
        • Schroth G
        Internal carotid artery dissection: MR imaging features and clinical-radiologic correlation.
        Radiology. 1996; 199: 191-198
        • Oelerich M
        • Stogbauer F
        • Kurlemann G
        • Schul C
        • Schuierer G
        Craniocervical artery dissection: MR imaging and MR angiographic findings.
        Eur Radiol. 1999; 9: 1385-1391
        • Pelkonen O
        • Tikkakoski T
        • Leinonen S
        • Pyhtinen J
        • Sotaniemi K
        Intracranial arterial dissection.
        Neuroradiology. 1998; 40: 442-447
        • Uchino A
        • Kato A
        • Takase Y
        • Kudo S
        Middle cerebral artery variations detected by magnetic resonance angiography.
        Eur Radiol. 2000; 10: 560-563
        • Alhaj E
        • Alhaj N
        • Hamed H
        A 13-year-old boy with transient ischemic attacks.
        JAMA, J Am Med Assoc. 2000; 283: 480-481
        • Silverman IE
        • Wityk RJ
        Transient migraine-like symptoms with internal carotid artery dissection.
        Clin Neurol Neurosurg. 1998; 100: 116-120