| Spontaneous intracranial internal carotid artery dissection in a
child with psoriasis |
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Young Ok Kim2, Young Jun Son2, Young Jong Woo2, Sook Jung Yun1 |
1Departments of Dermatology, School of Medicine, Chonnam National University, Gwangju, Korea
2Departments of Pediatrics, School of Medicine, Chonnam National University, Gwangju, Korea |
| 소아에서 건선과 함께 진단된 자발성 두개강 내 내경 동맥 박리 1예 |
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김영옥2, 손영준2, 우영종2, 윤숙정1 |
1전남대학교 의과대학 피부과학교실
2전남대학교 의과대학 소아과학교실 |
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| Abstract |
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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. |
| Key Words:
Internal carotid artery dissection, Psoriasiss |
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