Carotid Artery Dissection and Ischemic Stroke After Severe Coughing. Issue 10 (October 2016)

• Record Type: Journal Article
• Authors: Zank, Jennifer Shin; Singh, Rani; Carney, Michele
• Is Part Of: Pediatric emergency care. Volume 32:Issue 10(2016)
• Publication Date: 2016-10
• Subjects: stroke -- cough -- asthma complication -- ischemic stroke -- carotid artery -- dissection; Pediatric emergencies -- Periodicals; 618.92002505
• DOI: 10.1097/PEC.0000000000000925
• Languages: English
• ISSNs: 0749-5161

Abstract

Abstract : Abstract: Vigorous coughing leading to internal carotid artery dissection has been described in the adult literature but has not been reported in the pediatric population. We describe an 8-year-old right-handed girl who had a 1-week history of increased work of breathing and vigorous coughing. She initially presented to her pediatrician's office for her respiratory symptoms which improved with steroid therapy and albuterol treatments. However, she developed evolving left-sided motor weakness over the course of 2 days and presented to our pediatric emergency department where she was found to have an ischemic stroke in the right corona radiata with a right internal carotid artery dissection.