Cervical artery dissection—an easily neglected cause of stroke: a case report

Lian, Ya Hui; Chen, Xin; Kong, De Rui; Chen, Wei; Shi, Mingchao; Zhou, Huixin

doi:10.1186/s12883-020-02006-6

Cited by 3 publications

(5 citation statements)

References 12 publications

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“…However, this classic triad is found in less than one-third of affected patients, and only approximately one-fifth of patients develop ischemic stroke with no warning signs. 2,6 Neither of our patients had the typical clinical symptom of pain. In Case 1, the symptoms were mainly those of ischemic stroke, while in Case 2, the symptoms were mainly decreased vision with intermittent mild headache.…”

Section: Discussionmentioning

confidence: 62%

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Internal carotid artery dissection with different interventions and outcomes: two case reports

Zheng

Zhou

et al. 2023

J Int Med Res

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Spontaneous internal carotid artery dissection (ICAD) is a rare disease and an important cause of stroke in young patients. The presentation of ICAD is variable and atypical. We have used three-dimensional T1-weighted volume isotropic turbo spin-echo acquisition to help diagnose ICAD. ICAD should be considered in young patients presenting with relevant symptoms in an emergency setting. We herein report ICAD with an unexplained onset in two patients. Neither had a history of large or small cervical trauma, but both had a history of hypertension. The first patient was a 33-year-old man who presented with upper extremity numbness and mobility impairment, and the second patient was a 40-year-old man with onset of visual impairment. There were no obvious triggers in either case. Both patients were diagnosed with ICAD by blood vessel examination. However, their prognoses differed. The first patient recovered after endovascular therapy, whereas the second patient was successfully managed with medical treatment. ICAD can cause different symptoms depending on where the dissection occurs. Clinicians must be aware of the different clinical manifestations of ICAD, make the correct diagnosis in a timely manner, make appropriate treatment plans according to the patient’s condition, and strive for timely recanalization of the blood vessels.

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Section: Discussionmentioning

confidence: 62%

“…However, this classic triad is found in less than one-third of affected patients, and only approximately one-fifth of patients develop ischemic stroke with no warning signs. 2 , 6…”

Section: Discussionmentioning

confidence: 99%

Internal carotid artery dissection with different interventions and outcomes: two case reports

Zheng

Zhou

et al. 2023

J Int Med Res

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“…Spontaneous intracranial dissection is a risk factor for acute ischemic stroke [1,2]. Arterial dissection is often accompanied by arterial wall hematoma and thrombosis, which usually result in stroke in children and young adults [3].…”

Section: Discussionmentioning

confidence: 99%

“…To date there are no definitive guidelines for the optimal treatment of ischemic stroke resulting from thrombosis of cerebral artery dissection. The treatment and diagnosis of cerebral artery dissection thrombosis depends on limited literature [1,[4][5][6]. Traditional treatment includes surgery and endovascular surgery to block the dissection.…”

Section: Discussionmentioning

confidence: 99%

Successful Intra-Arterial Thrombolysis and Stenting in an Acute Ischemic Stroke Patient Caused by Anterior Cerebral Artery (ACA) Dissection with Occlusion

2022

Ann Case Report

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Ischemic stroke is a major cause of death and disability in China and worldwide. Many reasons can cause stroke, including atherosclerosis, artery embolization, and cervical artery dissection and so on. Among them, spontaneous intracerebral artery dissection is a rare cause of acute ischemic stroke. Here we present a case of anterior cerebral artery (ACA) dissection with occlusion causing cerebral infarction, and successfully cured by arterial thrombolysis and stenting. A 60-year-old man was admitted because of ischemic stroke. Imaging examination showed that the proximal A2 segment of the right ACA was occluded, suggesting an occlusive infarction of the right anterior cerebral artery. After emergency intravenous thrombolysis, the symptoms of patient were relieved, but the symptoms aggravated again one hour later. Emergency DSA was performed, and the symptoms were improved after arterial thrombolysis and stenting. After 10 days, CT showed that the right cerebral infarction area was slightly limited than before. 1 month later, the symptoms were significantly improved, the patient could walk independently, and was discharged 42 days after the onset of the disease.

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“…4) Arrhythmogenic right Ventricular Cardiomyopathy (ARVC): In this condition, fatty fibrous tissue replaces normal heart tissue, causing abnormal heart rhythms. Stroke may occur due to a blood clot reaching the brain as a result of a tear in the wall of the large blood vessel (in the neck), which is known as a dissection of the cervical artery [14]. Bicuspid aortic valve diseases could be classified into two classes:…”

Section: Introductionmentioning

confidence: 99%

Machine Learning Approaches for Segmentation of Cardiovascular Neurocristopathy Related Images

Iqbal,

Soliman,

Sultan

et al. 2023

IEEE Access

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Cardiovascular neurocristopathy is associated with abnormal migration and development of neural crest cells, impacting the neural and the human cardiovascular system and leading to diseases such as cardiomyopathy, aortic disease, and aortic valve dysfunction. With advancements in biomedical imaging tools, efforts are made to understand the underlying causes of cardiovascular neurocristopathy and develop new diagnostic methods, especially using machine learning or specifically its sub-branch deep learning models. This article provides a systematic survey of the literature related to machine/deep learningbased segmentation of the diseases mentioned above in computer tomography (CT), magnetic resonance imaging (MRI), X-rays, and echocardiogram (Echos) images. The review identified gaps and provides future directions, such as the need for better interpretable and explainable AI models, addressing the lack of publicly available datasets, standardizing the result reporting procedure for better repeatability of the result, and the development of standard performance measurement metrics. The general conclusion suggests that there is a need for multimodalities, multimodel, high-quality data sets, and open-source disease-specific dataspaces that will help develop trustworthy deep learning models that could be implemented in imaging devices/tools and provide medical-grade segmented outputs that will augment and speed up clinician decision making.

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Cervical artery dissection—an easily neglected cause of stroke: a case report

Cited by 3 publications

References 12 publications

Internal carotid artery dissection with different interventions and outcomes: two case reports

Internal carotid artery dissection with different interventions and outcomes: two case reports

Successful Intra-Arterial Thrombolysis and Stenting in an Acute Ischemic Stroke Patient Caused by Anterior Cerebral Artery (ACA) Dissection with Occlusion

Machine Learning Approaches for Segmentation of Cardiovascular Neurocristopathy Related Images

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