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January 26, 2000

A 13-Year-Old Boy With Transient Ischemic Attacks

Author Affiliations

Phil B.FontanarosaMD, Deputy EditorIndividualAuthorMargaret A.WinkerMD, Deputy EditorIndividualAuthorStephen J.LurieMD, PhD, Fishbein FellowIndividualAuthor

JAMA. 2000;283(4):480-481. doi:10.1001/jama.283.4.475

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 trauma.