Pediatric traumatic carotid, vertebral and cerebral artery dissections: a review

Martin M Mortazavi, Ketan Verma, R Shane Tubbs, Mark Harrigan
Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery 2011, 27 (12): 2045-56
Traumatic cerebral dissections are rare but potentially dangerous conditions that through improved diagnostics have recently gained increased interest. However, there is still a significant lack of knowledge on the natural history, as well as on the best treatment options. Most of the literature on this topic consists of case reports and retrospective studies with no prospective randomized controlled studies. In our review, we highlight the fact that there is no level 1 evidence for the natural history of cerebral dissections or for the best treatment. We present 26 case studies derived from 70 pediatric patients affected by dissections, occlusions, and pseudoaneurysms.

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