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Lesson of the week: carotid dissection causing stroke in a child with migraine

Lesson of the week: carotid dissection causing stroke in a child with migraine
Lesson of the week: carotid dissection causing stroke in a child with migraine
The aetiology of stroke in childhood and adolescence often remains obscure. Up to 50% of published cases are said to be idiopathic, but often the search for an underlying cause is not exhaustive. Arterial dissection, usually of the internal carotid artery, is an important cause of stroke in this age group, accounting for 6% of cases in our series of 115 patients (unpublished data). Migrainous infarction, on the other hand, is rare in all ages and should be a diagnosis of exclusion. Unfortunately, in a patient with a history of headache it is often tempting to make this diagnosis. This case shows that other, potentially treatable, disease may be missed as a consequence.
0959-8138
291
Ganesan, V.
0541b25d-409b-434a-b628-8df993f1d8c8
Kirkham, F.J.
1dfbc0d5-aebe-4439-9fb2-dac6503bcd58
Ganesan, V.
0541b25d-409b-434a-b628-8df993f1d8c8
Kirkham, F.J.
1dfbc0d5-aebe-4439-9fb2-dac6503bcd58

Ganesan, V. and Kirkham, F.J. (1997) Lesson of the week: carotid dissection causing stroke in a child with migraine. BMJ, 314 (7076), 291. (doi:10.1136/bmj.314.7076.291).

Record type: Article

Abstract

The aetiology of stroke in childhood and adolescence often remains obscure. Up to 50% of published cases are said to be idiopathic, but often the search for an underlying cause is not exhaustive. Arterial dissection, usually of the internal carotid artery, is an important cause of stroke in this age group, accounting for 6% of cases in our series of 115 patients (unpublished data). Migrainous infarction, on the other hand, is rare in all ages and should be a diagnosis of exclusion. Unfortunately, in a patient with a history of headache it is often tempting to make this diagnosis. This case shows that other, potentially treatable, disease may be missed as a consequence.

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Published date: 25 January 1997

Identifiers

Local EPrints ID: 429794
URI: http://eprints.soton.ac.uk/id/eprint/429794
ISSN: 0959-8138
PURE UUID: 5aa27cf8-10ee-4d52-81b3-a21dc10eefa0
ORCID for F.J. Kirkham: ORCID iD orcid.org/0000-0002-2443-7958

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Date deposited: 05 Apr 2019 16:30
Last modified: 08 Jan 2022 02:54

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Contributors

Author: V. Ganesan
Author: F.J. Kirkham ORCID iD

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