A Case of Young Man with Stroke Caused by Internal Carotid Artery Dissection

Soong, Bcp; Chan, HY; Ng, FH

doi:10.1177/102490791201900109

Cited by 3 publications

(3 citation statements)

References 13 publications

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“…Current therapeutic strategies for ICAD include medical anticlotting therapy, endovascular treatment or surgery; however, the selection of an appropriate therapy remains controversial (4). Anticoagulant therapy in the acute stage is justified based on the presumed embolic mechanism, and antiplatelet agents, including aspirin or clopidogrel, have also been used for residual luminal irregularity or in cases of ICAD without ischemic symptoms (2). Endovascular treatments, including angioplasty or stenting, may be considered if the patient has persistent high grade stenosis despite adequate anticoagulation and a persisting or newly developed aneurysm of the dissected internal carotid, or is contraindicated for anticoagulation therapy (3).…”

Section: Discussionmentioning

confidence: 99%

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Treatment of internal carotid artery dissection with Willis covered stent: A case report of recurrent limb weakness and no response to medical therapy

Cai¹,

Guan²,

Ren³

et al. 2016

Experimental and Therapeutic Medicine

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Abstract. Internal carotid artery dissection (ICAD) is a major cause of ischemic stroke in young and middle-aged patients. Patients may be asymptomatic or present with symptoms ranging from headache and neck pain to severe cerebral ischemic events. Conventional treatment is medical anticlotting therapy or involves the use of interventional tools, such as endovascular treatment. Anticoagulation or antiplatelet therapy are the primary treatment modalities used to prevent thromboembolic complications from arterial dissections, however, they are unsuitable in certain cases of dissecting aneurysms. In the current study reports the case of a 52-year-old male patient presenting with the primary complaint of left limb weakness. Computed tomography angiography revealed a right ICAD located in the oropharyngeal segment. Subsequently, digital subtraction angiography was performed to assess the oropharyngeal segment. Antithrombotic therapy resulted in no improvement; therefore, endovascular treatment with the insertion of a Willis covered stent was performed, resulting in an improved outcome.

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Section: Discussionmentioning

confidence: 99%

“…The majority (70%) of patients are reported to be <50 years old, with a slight predominance of male patients (2,3). Common symptoms of carotid artery dissection include pain, partial Horner syndrome, cranial nerve palsies and cerebral ischemia (4).…”

Section: Introductionmentioning

confidence: 99%

Treatment of internal carotid artery dissection with Willis covered stent: A case report of recurrent limb weakness and no response to medical therapy

Cai¹,

Guan²,

Ren³

et al. 2016

Experimental and Therapeutic Medicine

View full text Add to dashboard Cite

show abstract

“…Most documented cases of traumatic carotid artery dissection involved motor vehicle accidents, although a few cases resulted from minor trauma. 5,6 The mechanism of injury to the carotid artery is thought to be a shear force applied to the vessels during hyperextension or abrupt full flexion of neck, causing dissection of the least elastic intimal layer. The classic triad of dissecting carotid artery included craniocervical pain, cerebral or retinal ischaemia and a partial Horner's syndrome.…”

Section: Discussionmentioning

confidence: 99%

Traumatic Dissections of Bilateral Internal carotid Artery with Aneurysms Formation

Chang¹,

Tsai²,

Liang³

et al. 2016

Hong Kong j. emerg. med.

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Carotid artery dissection is an unusual complication of blunt neck trauma with high mortality and severe neurological deficits. Traumatic bilateral dissections and dissecting aneurysms are extremely rare. A 17-yearold male presented to our emergency department with sudden onset of right hemiparesis and aphasia. Initial computed tomography scan of head and neck showed no remarkable finding. On the second day, a magnetic resonance angiography of head and neck demonstrated bilateral extracranial internal carotid artery dissections. The diagnosis of traumatic carotid artery dissection for emergency physicians is difficult because of the absence or delayed onset in symptomatology. Magnetic resonance angiography is currently considered as an appropriate initial diagnostic tool for carotid artery injury. In clinical practice, early diagnosis by keeping a high index of suspicions is required by emergency physicians.

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Carotid artery dissection: a case of recurrence

et al. 2021

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A 53-year-old healthy man with history of left internal carotid artery dissection in 2006 presented with right-sided facial pain with paraesthesia associated with taste and speech disturbances. A CT angiogram was done without further delay considering the patient’s history of dissection, and revealed a non-occlusive right-sided internal carotid artery dissection at the skull base level. The neurologist, neurosurgeons and stroke team were involved in the care, and the patient was immediately moved to a tertiary hospital for further intervention. Brain MRI and magnetic resonance angiography did not reveal further progression of the dissection and the patient was therefore medically managed.

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A Case of Young Man with Stroke Caused by Internal Carotid Artery Dissection

Cited by 3 publications

References 13 publications

Treatment of internal carotid artery dissection with Willis covered stent: A case report of recurrent limb weakness and no response to medical therapy

Treatment of internal carotid artery dissection with Willis covered stent: A case report of recurrent limb weakness and no response to medical therapy

Traumatic Dissections of Bilateral Internal carotid Artery with Aneurysms Formation

Carotid artery dissection: a case of recurrence

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