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May 1958, Vol 95, No. 5 >
Article | May 1958

Spontaneous Thrombosis of the Internal Carotid Artery in a Seven-Year-Old Child FREE

STANTON L. GOLDSTEIN, M.D.; JOHN P. BURGESS, M.D.
[+] Author Affiliations

Received for publication Dec. 30, 1957.


AMA Am J Dis Child. 1958;95(5):538-540. doi:10.1001/archpedi.1958.02060050542012.
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References
Comments

Spontaneous thrombosis of the internal carotid artery is becoming recognized as one of the major causes of hemiplegia.1,8-14,23 While there are many cases of thrombosis of the internal carotid artery secondary to direct trauma to the artery,3,4,6,16,18,20 the incidence of spontaneous thrombosis in children without any antecedent trauma or underlying systemic pathology is rare. We have discovered in the literature2,5,7,15,17,18,21 eight cases of thrombosis of the internal carotid artery in persons under the age of 20 years, six of which were verified by angiography or autopsy, but only one verified case of spontaneous thrombosis in a child less than 10 years old. This was in a 5-year-old boy reported by Shapiro.21 Behrman2 reports a case in a 7-year-old boy, but the diagnosis was made only by the presence of diminished pulsation of the carotid artery and was not verified by angiography. Clark and Linell6

REFERENCES

1 +
Batley, E.:  Bilateral Internal Carotid Artery Thrombosis: A Report of 2 Cases , Brit. J. Radiol. 28:472-473, 1955;.
2 +
Behrman, S.:  Thrombosis of the Internal Carotid Artery , Postgrad. M. J. 30:570-576, 1954;.
3 +
Caldwell, H. W., and Hadden, F. C.:  Carotid Artery Thrombosis: Report of 8 Cases Due to Trauma , Ann. Int. Med. 28:1132-1142, 1948;.
4 +
Caldwell, J. A.:  Posttraumatic Thrombosis of Internal Carotid Artery: Report of 2 Cases , Am. J. Surg. 32:522-523, 1936;.
5 +
Clark, R. M., and Linell, E. A.:  Case Report: Prenatal Occlusion of the Internal Carotid Artery , J. Neurol. Neurosurg. & Psychiat. 17:295-297, 1954;.
6 +
Colledge, L., and Dunn, J. S.:  Four Cases of Hemiplegia Caused by Embolism Following Gunshot Wounds of the Carotid Arteries , Lancet 1:57-59, 1917;.
7 +
Dutaillis, P.: Rev. Neurol. 81:997, 1949;
8 +
quoted by Behrman.2
9 +
Elvidge, A. R., and Werner, A.:  Hemiplegia and Thrombosis of the Internal Carotid System , A.M. A. Arch. Neurol. & Psychiat. 66:752-782, 1951;.
10 +
Fisher, M.:  Occlusion of the Internal Carotid Artery , A. M. A. Arch. Neurol. & Psychiat. 65:346-377, 1951;.
11 +
Gurdjian, E. S., and Webster, J. E.:  Spontaneous Thrombosis of the Carotid Arteries in the Neck , Tr. Am. Neurol. A. 74:50-54, 1949;.
12 +
Gurdjian, E. S., and Webster, J. E.:  Stroke Resulting from Internal Carotid Artery Thrombosis in the Neck , J. A. M. A. 151:541-545, 1953;.
13 +
Hunt, J. R.:  The Role of the Carotid Arteries in the Causation of Vascular Lesions of the Brain with Remarks on Certain Special Features of the Symptomatology , Am. J. M. Sc. 147:704-713, 1914;.
14 +
Johnson, H. C., and Walker, A. E.:  The Angiographic Diagnosis of Spontaneous Thrombosis of the Internal and Common Carotid Arteries , J. Neurosurg. 8:631-659, 1951;.
15 +
King, A. B., and Langworthy, O. R.:  Neurologic Symptoms Following Extensive Occlusion of the Common or Internal Carotid Artery , Arch. Neurol. & Psychiat. 46:835-842, 1941;.
16 +
Krayenbühl, H., and Weber, G.:  Die Thrombose der Arteria carotis interna und ihre Beziehung zur Endangiitis obliterans v. Winiwarter-Buerger , Helvet. med. acta 11:289-333, 1944;.
17 +
Moore, A., and Turnbull, F.:  Thrombosis of Internal Carotid Artery Resulting from Shotgun Wound , Bull. Vancouver M. A. 20:103-104, 1944;.
18 +
Moniz, E.:  Thromboses da carótida interna e artérias suas derivadas , Med. contemp. 65:111-132, 1947;.
19 +
Northcroft, G. B., and Morgan, A. D.:  A Fatal Case of Traumatic Thrombosis of the Internal Carotid Artery , Brit. J. Surg. 32:105-107, 1944;.
20 +
Riechert, T.:  Die Arteriographie der Hirngefässe bei einseitigem Verschluss der Carotis interna , Nervenarzt 11:290-297, 1938;.
21 +
Schneider, R. C., and Lemmen, L. J.:  Traumatic Internal Carotid Artery Thrombosis Secondary to Nonpenetrating Injuries to the Neck: A Problem in the Differential Diagnosis of Craniocerebral Trauma , J. Neurosurg. 9:495-507, 1952;.
22 +
Shapiro, R.:  Thrombosis of the Internal Carotid Artery , Radiology 58:94-99, 1952;.
23 +
Vaernet, K.:  Collateral Ophthalmic Artery Circulation in Thrombotic Carotid Occlusion , Neurology 4:605-611, 1954;.
24 +
Webster, J. E.; Dolgoff, S., and Gurdjian, E. S.:  Spontaneous Thrombosis of the Carotid Arteries in the Neck: Report of 4 Cases , Arch. Neurol. & Psychiat. 63:942-953, 1950;.

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References

1 +
Batley, E.:  Bilateral Internal Carotid Artery Thrombosis: A Report of 2 Cases , Brit. J. Radiol. 28:472-473, 1955;.
2 +
Behrman, S.:  Thrombosis of the Internal Carotid Artery , Postgrad. M. J. 30:570-576, 1954;.
3 +
Caldwell, H. W., and Hadden, F. C.:  Carotid Artery Thrombosis: Report of 8 Cases Due to Trauma , Ann. Int. Med. 28:1132-1142, 1948;.
4 +
Caldwell, J. A.:  Posttraumatic Thrombosis of Internal Carotid Artery: Report of 2 Cases , Am. J. Surg. 32:522-523, 1936;.
5 +
Clark, R. M., and Linell, E. A.:  Case Report: Prenatal Occlusion of the Internal Carotid Artery , J. Neurol. Neurosurg. & Psychiat. 17:295-297, 1954;.
6 +
Colledge, L., and Dunn, J. S.:  Four Cases of Hemiplegia Caused by Embolism Following Gunshot Wounds of the Carotid Arteries , Lancet 1:57-59, 1917;.
7 +
Dutaillis, P.: Rev. Neurol. 81:997, 1949;
8 +
quoted by Behrman.2
9 +
Elvidge, A. R., and Werner, A.:  Hemiplegia and Thrombosis of the Internal Carotid System , A.M. A. Arch. Neurol. & Psychiat. 66:752-782, 1951;.
10 +
Fisher, M.:  Occlusion of the Internal Carotid Artery , A. M. A. Arch. Neurol. & Psychiat. 65:346-377, 1951;.
11 +
Gurdjian, E. S., and Webster, J. E.:  Spontaneous Thrombosis of the Carotid Arteries in the Neck , Tr. Am. Neurol. A. 74:50-54, 1949;.
12 +
Gurdjian, E. S., and Webster, J. E.:  Stroke Resulting from Internal Carotid Artery Thrombosis in the Neck , J. A. M. A. 151:541-545, 1953;.
13 +
Hunt, J. R.:  The Role of the Carotid Arteries in the Causation of Vascular Lesions of the Brain with Remarks on Certain Special Features of the Symptomatology , Am. J. M. Sc. 147:704-713, 1914;.
14 +
Johnson, H. C., and Walker, A. E.:  The Angiographic Diagnosis of Spontaneous Thrombosis of the Internal and Common Carotid Arteries , J. Neurosurg. 8:631-659, 1951;.
15 +
King, A. B., and Langworthy, O. R.:  Neurologic Symptoms Following Extensive Occlusion of the Common or Internal Carotid Artery , Arch. Neurol. & Psychiat. 46:835-842, 1941;.
16 +
Krayenbühl, H., and Weber, G.:  Die Thrombose der Arteria carotis interna und ihre Beziehung zur Endangiitis obliterans v. Winiwarter-Buerger , Helvet. med. acta 11:289-333, 1944;.
17 +
Moore, A., and Turnbull, F.:  Thrombosis of Internal Carotid Artery Resulting from Shotgun Wound , Bull. Vancouver M. A. 20:103-104, 1944;.
18 +
Moniz, E.:  Thromboses da carótida interna e artérias suas derivadas , Med. contemp. 65:111-132, 1947;.
19 +
Northcroft, G. B., and Morgan, A. D.:  A Fatal Case of Traumatic Thrombosis of the Internal Carotid Artery , Brit. J. Surg. 32:105-107, 1944;.
20 +
Riechert, T.:  Die Arteriographie der Hirngefässe bei einseitigem Verschluss der Carotis interna , Nervenarzt 11:290-297, 1938;.
21 +
Schneider, R. C., and Lemmen, L. J.:  Traumatic Internal Carotid Artery Thrombosis Secondary to Nonpenetrating Injuries to the Neck: A Problem in the Differential Diagnosis of Craniocerebral Trauma , J. Neurosurg. 9:495-507, 1952;.
22 +
Shapiro, R.:  Thrombosis of the Internal Carotid Artery , Radiology 58:94-99, 1952;.
23 +
Vaernet, K.:  Collateral Ophthalmic Artery Circulation in Thrombotic Carotid Occlusion , Neurology 4:605-611, 1954;.
24 +
Webster, J. E.; Dolgoff, S., and Gurdjian, E. S.:  Spontaneous Thrombosis of the Carotid Arteries in the Neck: Report of 4 Cases , Arch. Neurol. & Psychiat. 63:942-953, 1950;.

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