{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T08:53:32Z","timestamp":1781081612513,"version":"3.54.1"},"reference-count":13,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2011,7,8]],"date-time":"2011-07-08T00:00:00Z","timestamp":1310083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Child Neurol"],"published-print":{"date-parts":[[2011,9]]},"abstract":"<jats:p>Transient cerebral arteriopathy is a frequent cause of childhood arterial ischemic stroke. Differentiating this condition from intracranial carotid artery dissection is challenging but important for initial treatment. We describe 4 cases from the International Pediatric Stroke Study of intracranial carotid artery dissection, initially misdiagnosed as transient cerebral arteriopathy. Presentations were abrupt, with focal neurological deficits in 4, preceding headache in 3, and minor trauma in 1. Infarcts involved the anterior circulation, and magnetic resonance angiography showed unilateral arterial stenosis\/occlusion. None had evidence of dissection. All received anticoagulation or thrombolysis. Three died from refractory intracranial hypertension. Intracranial carotid artery dissection was confirmed postmortem (n = 3) and on dedicated MR wall imaging showing intramural hematoma (n = 1). In differentiating transient cerebral arteriopathy from intracranial carotid artery dissection, routine magnetic resonance angiography is unreliable and adjunctive conventional angiography, gadolinium magnetic resonance angiography, or dedicated MRI wall imaging should be considered.<\/jats:p>","DOI":"10.1177\/0883073811408904","type":"journal-article","created":{"date-parts":[[2011,7,9]],"date-time":"2011-07-09T20:17:08Z","timestamp":1310242628000},"page":"1203-1206","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":52,"title":["Intracranial Dissection Mimicking Transient Cerebral Arteriopathy in Childhood Arterial Ischemic Stroke"],"prefix":"10.1177","volume":"26","author":[{"given":"Nomazulu","family":"Dlamini","sequence":"first","affiliation":[{"name":"Division of Neurology, The Hospital for Sick Children, Toronto, Ontario, Canada"},{"name":"Department of Neurology, The Royal Children\u2019s Hospital, Melbourne, Australia"},{"name":"Division of Histopathology, The Hospital for Sick Children, Toronto, Ontario, Canada"},{"name":"Department of Neuroradiology, The Hospital for Sick Children, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremy L.","family":"Freeman","sequence":"additional","affiliation":[{"name":"Department of Neurology, The Royal Children\u2019s Hospital, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark T.","family":"Mackay","sequence":"additional","affiliation":[{"name":"Department of Neurology, The Royal Children\u2019s Hospital, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia","family":"Hawkins","sequence":"additional","affiliation":[{"name":"Division of Neurology, The Hospital for Sick Children, Toronto, Ontario, Canada"},{"name":"Division of Histopathology, The Hospital for Sick Children, Toronto, Ontario, Canada"},{"name":"Department of Neuroradiology, The Hospital for Sick Children, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manohar","family":"Shroff","sequence":"additional","affiliation":[{"name":"Division of Neurology, The Hospital for Sick Children, Toronto, Ontario, Canada"},{"name":"Division of Histopathology, The Hospital for Sick Children, Toronto, Ontario, Canada"},{"name":"Department of Neuroradiology, The Hospital for Sick Children, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather J.","family":"Fullerton","sequence":"additional","affiliation":[{"name":"Departments of Neurology and Pediatrics, University of California San Francisco, San Francisco, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabrielle A.","family":"deVeber","sequence":"additional","affiliation":[{"name":"Division of Neurology, The Hospital for Sick Children, Toronto, Ontario, Canada"},{"name":"Division of Histopathology, The Hospital for Sick Children, Toronto, Ontario, Canada"},{"name":"Department of Neuroradiology, The Hospital for Sick Children, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2011,7,8]]},"reference":[{"key":"bibr1-0883073811408904","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2006-2791"},{"key":"bibr2-0883073811408904","doi-asserted-by":"publisher","DOI":"10.1097\/00006454-200007000-00015"},{"key":"bibr3-0883073811408904","doi-asserted-by":"publisher","DOI":"10.1177\/088307389801300105"},{"key":"bibr4-0883073811408904","doi-asserted-by":"publisher","DOI":"10.1177\/08830738060210010101"},{"key":"bibr5-0883073811408904","doi-asserted-by":"publisher","DOI":"10.1002\/art.21766"},{"key":"bibr6-0883073811408904","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.108.189696"},{"key":"bibr7-0883073811408904","first-page":"CD000255","author":"Lyrer P","year":"2000","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr8-0883073811408904","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.108.521203"},{"key":"bibr9-0883073811408904","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.57.7.1155"},{"key":"bibr10-0883073811408904","doi-asserted-by":"publisher","DOI":"10.1002\/ana.22224"},{"key":"bibr11-0883073811408904","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.29.12.2646"},{"key":"bibr12-0883073811408904","doi-asserted-by":"publisher","DOI":"10.1177\/0883073809333539"},{"key":"bibr13-0883073811408904","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000342470.69739.b3"}],"container-title":["Journal of Child Neurology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0883073811408904","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0883073811408904","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T20:36:46Z","timestamp":1777495006000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0883073811408904"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,7,8]]},"references-count":13,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2011,9]]}},"alternative-id":["10.1177\/0883073811408904"],"URL":"https:\/\/doi.org\/10.1177\/0883073811408904","relation":{},"ISSN":["0883-0738","1708-8283"],"issn-type":[{"value":"0883-0738","type":"print"},{"value":"1708-8283","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,7,8]]}}}