Internal Carotid Artery Occlusion in a Child.

Occlusion of the internal carotid artery is a rare condition in children. Mymin (1960) and Wisoff and Rothballer (1961) reviewed a total of 24 cases in children under the age of 10 years. Till and Hoare (1962) published carotid arteriograms of 3 children who presented with acute hemiplegia but they gave no additional clinical details. Brandt (1962) also mentioned a case of acute infantile hemiplegia due to internal carotid stenosis. Faris, Guth, Youmans, and Poser (1964) reported the case of a 7-year-old girl who presented with a left hemiplegia due to occlusion of the right internal carotid artery. The following case is reported because of the comparative rarity of the condition, and in addition because it seems to be the first in which the pathology was demonstrated surgically and found to be amenable in part to corrective surgery.