Phil B.FontanarosaMD, Deputy EditorIndividualAuthorMargaret A.WinkerMD, Deputy EditorIndividualAuthorStephen J.LurieMD, PhD, Fishbein FellowIndividualAuthor
To the Editor: While internal carotid artery
dissection is an important cause of cerebrovascular accidents in children,
a clinical presentation suggestive of transient ischemic attacks is uncommon.
We report a case of a boy with angiographically confirmed internal carotid
artery dissection who presented with transient ischemic symptoms.
A 13-year-old boy presented to the emergency department with severe
left-sided throbbing headache that developed suddenly while he was getting
dressed. The headache was associated with nausea without other symptoms and
had responded partially to ibuprofen at home. There was no history of head
Alhaj E, Alhaj N, Hamed H. A 13-Year-Old Boy With Transient Ischemic Attacks. JAMA. 2000;283(4):480-481. doi:10.1001/jama.283.4.475