Transient @entity1779 is a frequent cause of childhood arterial @entity385 . Differentiating this condition from @entity7244 is challenging but important for initial treatment. We describe 4 cases from the International Pediatric Stroke Study of @entity7244 , initially misdiagnosed as @entity1779 . Presentations were abrupt, with focal @entity51 in 4, preceding @entity10 in 3, and minor @entity130 in 1. @entity1188 involved the anterior circulation, and magnetic resonance angiography showed @entity2791 /occlusion. None had evidence of dissection. All received anticoagulation or thrombolysis. Three died from refractory intracranial @entity101 . Intracranial carotid artery dissection was confirmed postmortem (n = 3) and on dedicated MR wall imaging showing intramural @entity1410 (n = 1). In differentiating @entity1779 from @entity7244 , routine magnetic resonance angiography is unreliable and adjunctive conventional angiography, gadolinium magnetic resonance angiography, or dedicated MRI wall imaging should be considered.

Intracranial dissection mimicking @entity1779 in childhood arterial XXXX .

@entity101 :: ('MESH:D006973', 'Disease') :: ['hypertension'] @entity7244 :: ('MESH:D020765', 'Disease') :: ['intracranial carotid artery dissection'] @entity2791 :: ('MESH:D012078', 'Disease') :: ['unilateral arterial stenosis'] @entity51 :: ('MESH:D009461', 'Disease') :: ['neurological deficits'] @entity1188 :: ('MESH:D007238', 'Disease') :: ['Infarcts'] @entity1410 :: ('MESH:D006406', 'Disease') :: ['hematoma'] @entity10 :: ('MESH:D006261', 'Disease') :: ['headache'] @entity1779 :: ('MESH:D002543', 'Disease') :: ['cerebral arteriopathy', 'transient cerebral arteriopathy'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma'] @entity385 :: ('MESH:D002544', 'Disease') :: ['ischemic stroke']
@entity385 :: (MESH:D002544,Disease) :: ['ischemic stroke']
