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Internal Carotid Artery Thrombus: An Underdiagnosed Source of Brain Emboli in Neonates?

Departments of Neurology Miami Children's Hospital and University of Miami

Genoveva Prieto, MD

Department of Pediatric Radiology

Elza Vasconcellos, MD

Department of Neurology

Karim Aref, MD

Department of Pediatric Radiology

Esperanza Pacheco, MD

Department of Radiology

Karina Yelin, MD

Department of Neurology Miami Children's Hospital University of Miami Miami, Florida

We report a full-term neonate with a left middle cerebral artery infarct, narrowing of the internal carotid artery detected by magnetic resonance angiography and B-mode ultrasonography, and a large thrombus at the origin of the internal carotid artery detected by B-mode ultrasonography. Internal carotid arterial thrombus is seldom considered the source of middle cerebral arterial embolus in neonates. We suggest that B-mode ultrasonography of the carotid artery be included in the diagnostic evaluation of middle cerebral artery infarcts in neonates. (J Child Neurol 2001;16:446-447).

Journal of Child Neurology, Vol. 16, No. 6, 446-447 (2001)
DOI: 10.1177/088307380101600612


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