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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.

Report of a Case

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.

A few hours later, while in the emergency department, the patient started to have right-side numbness and a tingling sensation that spread from his fingers to his arm. He was admitted to the hospital for observation. No abnormalities were found on detailed neurological examination, and findings of computed tomography of the brain were normal.

Five days after the . . . [Full Text of this Article]