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Spontaneous intracranial internal carotid artery dissection in a child with psoriasis

Korean Journal of Pediatrics 2009;52(9):1044-1047.
Published online September 15, 2009.
Spontaneous intracranial internal carotid artery dissection in a child with psoriasis
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
김영옥2, 손영준2, 우영종2, 윤숙정1
1전남대학교 의과대학 피부과학교실
2전남대학교 의과대학 소아과학교실
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.
Key Words: Internal carotid artery dissection, Psoriasiss


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