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DOI: 10.1055/a-1756-4667
Dissection of the Brachiocephalic Trunk with Subsequent Occlusion of Both Common Carotid Arteries in a Newborn with an Aortic Arch Variant – From Cerebral Doppler Ultrasound to Diagnosis
Geburtstraumatische Dissektion des Truncus brachiocephalicus mit nachfolgendem Verschluss beider Arteriae Carotides communes bei einem Neugeborenen mit einer Aortenbogenvariante– vom cerebralen Dopplerultraschall zur Diagnose
Introduction
Dissections of cervicocephalic arteries are rarely reported causes of neonatal ischemic stroke. In these reported cases, vascular dissections were presumably caused by direct vascular damage or stretch injury related to a traumatic delivery [J. Fluss et al. Eur J Paediatr Neurol 2016; 20:639–648]. Neonatal ischemic stroke is often missed initially because symptoms are nonspecific, mild, or absent and occur with a time delay [KH. Deeg et al. Ultraschall in Med 2017; 38:360–376]. The following case illustrates how cerebral Doppler ultrasound can contribute to early diagnosis and elucidation of complex vascular pathologies.
Publication History
Received: 07 October 2021
Accepted after revision: 23 January 2022
Article published online:
24 February 2022
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