Moretti Jean-baptiste,  Alchourron Emilie,  Stein Nina,  Farhat Ziad,  Garel Juliette,  Lapierre Chantale,  Dubois Josée,  El-jalbout Ramy

Final Pr. ID: Poster #: SCI-003

Pediatric carotid artery Intima-Media Thickness (IMT) is a non-invasive ultrasound marker of early atherosclerosis. Obesity in children is associated with increased IMT. The objective of this meta-analysis is to report IMT values in children living with overweight/obesity in the literature. Read More

Authors:  Moretti Jean-baptiste , Alchourron Emilie , Stein Nina , Farhat Ziad , Garel Juliette , Lapierre Chantale , Dubois Josée , El-jalbout Ramy

Keywords:  Carotid Intima-Media Thickness, Pediatric, Cardiovascular Risk

Patel Shital,  Aviado Randy,  Way Ewa,  Bingham Jobeth,  Strauss Lauren,  Mahdi Eman,  Vorona Gregory

Final Pr. ID: Poster #: CR-032

Congenital absence of the internal carotid artery (ICA) is a rare vascular anomaly, with a prevalence below 0.01%. This case report presents an unusual instance of idiopathic intracranial hypertension (IIH) and migraine, for which the workup revealed the unexpected absence of the bilateral ICAs.

A 13-year-old female, previously healthy, experienced severe, persistent bilateral occipital headaches, neck pain, blurry vision, photophobia, and visual aura. Ophthalmological findings showed optic disc swelling, particularly in the right eye. Pediatric Neurology assessed the patient, finding papilledema (predominantly in the right eye) with no other neurological deficits.

Lumbar puncture yielded an elevated opening pressure (34 cm H2O). MRI brain demonstrated imaging characteristics indicating IIH. MRV head/neck excluded dural venous sinus narrowing or thrombosis. MRA head/neck revealed congenital bilateral ICA absence. Both vertebral arteries were patent, and the basilar artery supplied the anterior cerebral circulation.

The patient was diagnosed with IIH and migraine. She was discharged with Diamox and Topamax, with ongoing management by pediatric neurology.

This case report will review the clinical background and the advanced imaging findings associated with an uncommon intracranial vascular anomaly in pediatric neurology, including arterial spin labeling (ASL). Bilateral ICA absence, though exceptionally rare, can contribute to neurological manifestations, including IIH and migraine.

Co-occurring IIH and migraine, alongside congenital bilateral ICA absence, pose a unique diagnostic challenge. A multidisciplinary approach and heightened awareness among healthcare providers are essential for managing such complex presentations. Read More

Authors:  Patel Shital , Aviado Randy , Way Ewa , Bingham Jobeth , Strauss Lauren , Mahdi Eman , Vorona Gregory

Keywords:  carotid, absence

Nagy Eszter,  Wieser Clarina,  Windhaber Jana,  Kogler Kristina,  Steinberger Monika,  Sorantin Erich

Final Pr. ID: Poster #: SCI-018

Morphological and functional carotid artery alteration can occur already in youth ages, essentially in presence of cardiovascular risk factors. Studies have showed that sonographic assessment of carotid artery (CA) Intima-Media Thickness (IMT) serves as prognostic factors for cardio-vascular disease also in youth patient population. As functional changes occur earlier than vessel wall morphological changes, this might be indicated by a decrease in vessel elasticity prior to the increase of IMT. This hypothesis indicates to use an early functional parameter for cardiovascular risk assessment.
This study was designed to assess and evaluate IMT as well as CA vessel elasticity in three groups, in young sportsmen and youth volunteers without any cardio-vascular risk factors (CV-RF) comparing to youth volunteers with CV-RF. Read More

Authors:  Nagy Eszter , Wieser Clarina , Windhaber Jana , Kogler Kristina , Steinberger Monika , Sorantin Erich

Keywords:  cardiovascular risk assessment, carotid sonography