TY - JOUR T1 - Importance of the arc of Riolan in children with severe middle aortic syndrome JF - Archives of Disease in Childhood JO - Arch Dis Child DO - 10.1136/archdischild-2021-321844 SP - archdischild-2021-321844 AU - Zainab Arslan AU - Premal Amrishkumar A Patel AU - Kishore Minhas AU - Kjell Tullus AU - Jelena Stojanovic Y1 - 2021/04/14 UR - http://adc.bmj.com/content/early/2021/04/14/archdischild-2021-321844.abstract N2 - A previously healthy 4-year-old girl presented to the emergency department with history of acute-onset right arm weakness, ataxia and slurred speech. Symptoms resolved within a few hours and she was discharged. Three days later, she represented with left arm weakness. Systolic blood pressures (BPs) of 240 and 168 mm Hg were measured in the upper and lower limbs, respectively.MRI of the brain revealed acute right frontal cortex and old midbrain infarcts. Abdominal … ER -