The "seagull cry": An initial sign in a child with intracranial carotid stenosis

Gerstl, Lucia; Heinen, Florian; Schroeder, A. Sebastian; Tacke, Moritz; Olivieri, Martin; Dorn, Franziska; Voll, Christian und Borggraefe, Ingo (2016): The "seagull cry": An initial sign in a child with intracranial carotid stenosis. In: Neurology, Bd. 87, Nr. 8: S. 850-851

Abstract

Cuddling up to her 5-year-old daughter, the mother noticed a right-sided intracranial pulsatile musical murmur. Diagnostic workup of the formerly healthy girl confirmed a severe stenosis in the right terminal internal carotid artery but also showed contralateral stenosis of the intracranial internal carotid artery in the transcranial ultrasound. Although typical collaterals are missing so far, findings are suspicious for diagnosis of a moyamoya syndrome (figures 1 and 2). The musical murmur as sign for high-flow velocity in a tight stenotic artery could be reproduced as so-called seagull cry in the transcranial color-coded ultrasoundacoustically and visualized by mirror-image parallel strings (figure 1;video on the Neurology (R) Web site at Neurology.org).(1</SUP)

• Dokumententyp: Zeitschriftenartikel
• Fakultät: Medizin
• Themengebiete: 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit
• ISSN: 0028-3878
• Sprache: Englisch