Recognizing vertebral artery dissection in children: a case report.

Abstract:

:Vertebral artery dissection is an unusual cause of stroke especially in children. The majority of dissections are thought to be caused by trauma although in many cases the trauma may be trivial. In other cases, certain underlying pathological processes are thought to be risk factors. We report a case of vertebral artery dissection in a 9-year-old child who presented with neurologic deficits suggestive of a posterior circulation stroke. The signs and symptoms of this unusual entity can be subtle and intermittent over a period of days to weeks; thus, making it very difficult to recognize. Therefore, it is important to consider the possibility of vertebral artery dissection in the differential diagnosis of neurologic deficits in children.

journal_name

Pediatr Emerg Care

journal_title

Pediatric emergency care

authors

Feudale F,Liebelt E

doi

10.1097/00006565-200006000-00014

subject

Has Abstract

pub_date

2000-06-01 00:00:00

pages

184-8

issue

3

eissn

0749-5161

issn

1535-1815

journal_volume

16

pub_type

杂志文章
  • Childhood sledding injuries in 1990-91.

    abstract::Sledding injuries are a common wintertime problem. To better characterize these injuries, three analyses were done: a retrospective chart review of all injured sledders at St. Louis Children's Hospital (SLCH) in the winter of 1990-91, a review of Consumer Product Safety Commission (CPSC) injury data for 1990, and meas...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199306000-00011

    authors: Manary MJ,Hollifield WC Jr

    更新日期:1993-06-01 00:00:00

  • An adolescent with thigh pain.

    abstract::Musculoskeletal pain is a common symptom among active adolescent in the emergency department. The etiologic list is broad and range from benign to potential life-threatening conditions. Deep vein thrombosis is a rare cause of lower extremity pain in children. We report an adolescent who presented with lower extremity ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e31818c2856

    authors: Waseem M,Aslam M,Kumar K,Hernandez W

    更新日期:2008-11-01 00:00:00

  • Deep vein thrombosis in an adolescent.

    abstract::We report an unusual case of deep vein thrombosis following minor trauma in an adolescent who presented with a swollen, tender, lower extremity. Work-up consisted of a venogram which demonstrated occlusion of the deep venous system in the proximal leg. The patient was hospitalized for intravenous heparin followed by o...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-198906000-00008

    authors: Berman DA,Norris RL,Crow T,Scatamacchia S

    更新日期:1989-06-01 00:00:00

  • Use of Emergency Medical Service transport system in medical patients up to 36 months of age.

    abstract:OBJECTIVES:To determine the frequency of inappropriate transport by Emergency Medical Service (EMS). DESIGN:A retrospective study. SUBJECTS:Patients up to 36 months of age with medical complaints transported by EMS to an urban pediatric emergency department (ED). INTERVENTIONS:None. MEASUREMENTS:Arbitrary criteria ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199806000-00004

    authors: Rosenberg N,Knazik S,Cohen S,Simpson P

    更新日期:1998-06-01 00:00:00

  • Penetrating injury to the superior sagittal sinus by a nail in a 4-year-old child: a case report.

    abstract::Penetrating head injuries are rare in children, with most injuries being accidental as a result of unsupervised use of sharp objects by young children. We present the case of a 4-year-old boy brought to our emergency department with a nail embedded through a wooden board and into his skull. The nail was determined to ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e318271ff3b

    authors: Sedney CL,Harshbarger T,Orphanos J,Collins JJ

    更新日期:2012-11-01 00:00:00

  • A randomized controlled trial of 2 methods of immobilizing torus fractures of the distal forearm.

    abstract:OBJECTIVES:Immobilization of torus fractures of the distal forearm, for 1 to 4 weeks in a slab, cast, or splint, produces good radiological and functional outcomes. This study assesses the pain associated with 2 forms of immobilization used for these injuries. METHODS:A randomized controlled trial comparing fiberglass...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/PEC.0b013e318163db13

    authors: Oakley EA,Ooi KS,Barnett PL

    更新日期:2008-02-01 00:00:00

  • Flumazenil administration in poisoned pediatric patients.

    abstract:OBJECTIVE:The goal of this retrospective cohort study of pediatric patients exposed to flumazenil was to identify the frequency of seizures. METHODS:Included patient were those aged 12 years or younger who received flumazenil, who had evidence of clinical poisoning as defined by an altered mental status, and who were ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3182531d0d

    authors: Kreshak AA,Tomaszewski CA,Clark RF,Cantrell FL

    更新日期:2012-05-01 00:00:00

  • Intussusception in association with childhood cocaine intoxication: a case report.

    abstract::A case report of an 11-month-old infant with cocaine intoxication and intussusception is presented. We present this case because there are no prior reports in the literature of cocaine intoxication associated with intussusception. The diagnosis was not initially considered in this patient. We feel the association is b...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199412000-00010

    authors: Ottolini MC,Foster KE

    更新日期:1994-12-01 00:00:00

  • Provider Prediction of Disposition for Children With an Acute Exacerbation of Asthma Presenting to the Pediatric Emergency Department.

    abstract:OBJECTIVE:The aim of this study was to evaluate the accuracy of the initial impression of emergency department providers on the disposition of children with asthma exacerbation. METHODS:We conducted a prospective survey of physicians and other providers in the emergency department of a children's hospital and parents ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001723

    authors: Caperell K,Pettigrew J,Gerughty A,Stevenson M

    更新日期:2019-02-01 00:00:00

  • Imported pediatric malaria presenting to an urban pediatric emergency department: a case series.

    abstract:OBJECTIVE:The objective of this study was to identify common presenting signs, symptoms, and laboratory findings of imported pediatric malaria presenting to a US pediatric emergency department (ED). METHODS:This is a retrospective chart review of all patients presenting to an urban pediatric ED between July 1, 2004, a...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e318276c88c

    authors: Schwartz KR,Vinci R

    更新日期:2012-12-01 00:00:00

  • An unusual presentation of hydrochloric acid ingestion: a mystery unraveled.

    abstract:BACKGROUND:Unintentional acid ingestion is less commonly encountered than alkali ingestion. The injury develops for hours to days after ingestion and often results in progressively increasing difficulty in airway management. However, gastric perforation is rare. CASE:A 3-year-old boy presented to us with an orotonsill...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000382

    authors: Ganapathy VP,Das RR,Chinnakkannan S,Panda SS

    更新日期:2015-03-01 00:00:00

  • Children in methamphetamine homes: a survey of physicians practicing in southeast Tennessee.

    abstract:OBJECTIVES:Methamphetamine (meth) abuse in the rural South has increased greatly in the last decade. This addiction harms meth abusers and producers and endangers children who live with them. Appropriate medical evaluation and treatment of these exposed children are largely undefined. The objective of this research was...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3181558d72

    authors: Bratcher L,Clayton EW,Greeley C

    更新日期:2007-10-01 00:00:00

  • An unusual complication from a femoral venous catheter.

    abstract::We report a case of a child with sickle cell disease and decreased intravascular volume secondary to splenic sequestration in whom a femoral venous catheter dislodged, infiltrated into the soft tissue of the anterior abdominal wall, and caused clinical signs of peritonitis. Inability to recognize this complication led...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-198803000-00009

    authors: Bonadio WA,Losek JD,Melzer-Lange M

    更新日期:1988-03-01 00:00:00

  • Procedural Training in Pediatric Emergency Medicine Fellowship: What Are We Teaching and What Do Fellows Need to Learn?

    abstract:BACKGROUND:Life-saving procedures are rarely performed on children in the emergency department, making it difficult for trainees to acquire the skills necessary to provide proficient resuscitative care for children. Studies have demonstrated that residents in general pediatrics and emergency medicine lack exposure to p...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000002195

    authors: Weiss A,Myers S,Lockman JL,Posner J,Shaw K

    更新日期:2020-08-28 00:00:00

  • Influence of topical anesthesia on the sedation of pediatric emergency department patients with lacerations.

    abstract::Local anesthetic infiltration of wounds causes pain which distresses children. A painless topical anesthetic solution containing tetracaine, adrenaline, and cocaine (TAC) may reduce this distress. We hypothesized that the use of TAC for anesthesia may reduce the utilization of sedation for laceration repair. We perfor...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-198912000-00002

    authors: Pierluisi GJ,Terndrup TE

    更新日期:1989-12-01 00:00:00

  • Gravel gut: small bowel perforation due to a blunt ingested foreign body.

    abstract::The ingestion of foreign bodies remains a common occurrence in children. Most ingested foreign bodies pass spontaneously, although up to 1% will result in intestinal perforation. Specific foreign bodies such as sharp, pointed, or corrosive objects have been typically associated with perforation. The initial diagnosis ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3180302be6

    authors: Cross KM,Holland AJ

    更新日期:2007-02-01 00:00:00

  • Investigating the reliability of substance toxicity information found on the Internet in pediatric poisonings.

    abstract:OBJECTIVES:The Internet may be the first source of information used by parents during a suspected poisoning of their children. Our primary aim was to assess the reliability of the Internet as a resource for information for parents to initially manage a suspected poisoning involving their child without outside consultat...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000022

    authors: Kearney TE,Lieu D,Singer N,Tsutaoka B,Ho R,Olson K

    更新日期:2013-12-01 00:00:00

  • Pediatricians Support Initiation of Asthma Controller Medications in the Emergency Department: A National Survey.

    abstract:OBJECTIVES:Although National Asthma Guidelines recommend that emergency department (ED) physicians consider initiating controller medications, research suggests that this practice occurs infrequently. The goal of this study was to assess primary care pediatricians' (PCP) beliefs and attitudes regarding ED initiation of...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000389

    authors: Sampayo EM,McLoughlin RJ,Tsevdos D,Alam S,Zorc JJ

    更新日期:2015-08-01 00:00:00

  • Pertussis: the return of a bad penny.

    abstract::We describe two related cases of pertussis infection ("whooping cough"). This disease entity was almost completely eradicated through successful mass immunization programs. In the past decade it has demonstrated a steady rise in incidence. The epidemiology, clinical manifestations, treatment, and current vaccines for ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审

    doi:

    authors: Mathis RD,Shoaf B,Weiner TI

    更新日期:1993-08-01 00:00:00

  • Status epilepticus in a child secondary to ingestion of skin-lightening cream.

    abstract::The popularity of the Internet and online media has led to the increased availability of prescription-strength, skin-lightening products contributing to a rise in their use among people with various skin pigment disorders. These products may contain a wide variety of active ingredients such as heavy metals, hydroquino...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e31828ed1be

    authors: Burns JM,Marino A,Manno M,Rhyee S,Boyer EW

    更新日期:2013-05-01 00:00:00

  • Pediatric Dog Bite Prevention: Are We Barking Up the Wrong Tree or Just Not Barking Loud Enough?

    abstract:OBJECTIVES:The objectives of this study were (1) to evaluate dog bite-related injuries and associated medical documentation and (2) to compare these results with a study of dog bites from the same institution 10 years prior. METHODS:Data were retrospectively collected from a pediatric emergency department from July 20...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001132

    authors: Bykowski MR,Shakir S,Naran S,Smith DM,Goldstein JA,Grunwaldt L,Saladino RA,Losee JE

    更新日期:2019-09-01 00:00:00

  • The Use of PECARN and CATCH Rules in Children With Minor Head Trauma Presenting to Emergency Department 24 Hours After Injury.

    abstract:OBJECTIVE:Major studies (PECARN [Pediatric Emergency Care Applied Research Network], CATCH [Canadian Assessment of Childhood Head Injury]) that regulate the use of computed tomography (CT) algorithms in children with minor head trauma (MHT) have been conducted among children presenting in 24 hours after injury. In this...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000002011

    authors: Sert ET,Mutlu H,Kokulu K

    更新日期:2020-01-10 00:00:00

  • Ultrasound-Guided Posterior Tibial Nerve Block for Plantar Foot Foreign Body Removal.

    abstract::Ultrasound-guided regional anesthesia is a growing modality within the pediatric emergency department. Here we present a case where a posterior tibial nerve block was used for anesthesia during foreign body removal from the plantar foot. We further review the technique and literature regarding this straightforward and...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审

    doi:10.1097/PEC.0000000000001897

    authors: Moake MM,Presley BC,Barnes RM

    更新日期:2020-05-01 00:00:00

  • Epidemiology of Headache in Children in a Community Emergency Department: A Scoping Study.

    abstract:OBJECTIVE:This study aimed to describe the epidemiology of headache in children attending a community mixed adult-pediatric emergency department (ED) in Australia with a view to providing scoping data for future headache-related projects for the pediatric ED research networks. METHODS:This is a retrospective cohort st...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000002000

    authors: Klim S,Kelly AM,Krieser D

    更新日期:2020-01-21 00:00:00

  • Laryngospasm during emergency department ketamine sedation: a case-control study.

    abstract:OBJECTIVE:The objective of this study was to assess predictors of emergency department (ED) ketamine-associated laryngospasm using case-control techniques. METHODS:We performed a matched case-control analysis of a sample of 8282 ED ketamine sedations (including 22 occurrences of laryngospasm) assembled from 32 prior p...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审

    doi:10.1097/PEC.0b013e3181fa8737

    authors: Green SM,Roback MG,Krauss B,Emergency Department Ketamine Meta-Analysis Study Group.

    更新日期:2010-11-01 00:00:00

  • Early Ultrasound Follow-Up of Extension-Type Supracondylar Fractures Treated by the Collar-and-Cuff (Blount) Technique.

    abstract:BACKGROUND:Extension-type supracondylar fractures can be treated with external immobilization, with the elbow flexed 100°. However, this technique requires early evaluation by true lateral x-ray of the elbow to detect secondary fracture displacement. QUESTIONS/PURPOSE:The purpose of this work is to evaluate whether ul...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001822

    authors: Choufani C,Blondiaux E,Pietton R,Bachy M,Leroy A,Vialle R

    更新日期:2020-04-01 00:00:00

  • Effectiveness of intramuscular penicillin versus oral amoxicillin in the early treatment of outpatient pediatric pneumonia.

    abstract:OBJECTIVE:To determine if intramuscular (IM) penicillin is more effective than oral (PO) amoxicillin in the early outpatient treatment of pediatric patients with presumed bacterial pneumonia. METHODS:Prospective, randomized, evaluator-blinded, clinical trial. SETTING:Pediatric emergency department (ED) of an urban ch...

    journal_title:Pediatric emergency care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Tsarouhas N,Shaw KN,Hodinka RL,Bell LM

    更新日期:1998-10-01 00:00:00

  • Pediatric cyanide poisoning by fire smoke inhalation: a European expert consensus. Toxicology Surveillance System of the Intoxications Working Group of the Spanish Society of Paediatric Emergencies.

    abstract::Most fire-related deaths are attributable to smoke inhalation rather than burns. The inhalation of fire smoke, which contains not only carbon monoxide but also a complex mixture of gases, seems to be the major cause of morbidity and mortality in fire victims, mainly in enclosed spaces. Cyanide gas exposure is quite co...

    journal_title:Pediatric emergency care

    pub_type: 共识发展会议,杂志文章,实务指引

    doi:10.1097/PEC.0b013e3182aa4ee1

    authors: Mintegi S,Clerigue N,Tipo V,Ponticiello E,Lonati D,Burillo-Putze G,Delvau N,Anseeuw K,Toxicology Surveillance System of the Intoxications Working Group of the Spanish Society of Paediatric Emergencies.

    更新日期:2013-11-01 00:00:00

  • Hypokalemia in an asthmatic child from abuse of albuterol metered dose inhaler.

    abstract::A case of albuterol abuse by a pediatric patient with the development of hypokalemia with electrocardiographic changes is presented. The hypokalemic effects of beta2-agonists are discussed in regard to the production of significant cardiac symptoms. Additionally, guidance regarding the evaluation of similar patients p...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199804000-00015

    authors: Rakhmanina NY,Kearns GL,Farrar HC 3rd

    更新日期:1998-04-01 00:00:00

  • Detecting fever in young infants: reliability of perceived, pacifier, and temporal artery temperatures in infants younger than 3 months of age.

    abstract:OBJECTIVES:Fever in young infants frequently triggers a laboratory evaluation because of the increased likelihood of serious bacterial infections. Reported fever by methods other than rectal thermometry is of concern. This study evaluates the validity of perceived, pacifier, and temporal artery (TA) temperatures. METH...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/01.pec.0000086231.54586.15

    authors: Callanan D

    更新日期:2003-08-01 00:00:00