Diagnosis of traumatic carotid artery dissection by transcranial Doppler ultrasound: Case report and review of the literature

Achtereekte, H.A.M.; Kruijk, R.A. van der; Hekster, R. E. M.; Keunen, R. W. M.

doi:10.1016/0090-3019(94)90270-4

Cited by 23 publications

(19 citation statements)

References 9 publications

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“…The dissected intima was not causing a permanent stenosis, but instead it was flapping in synchrony with the vessel pulse. Although TCD examination may also suggest the presence of extracranial dissection, [10][11][12] in our case TCD did not reveal significant velocity changes. In conclusion, although the visualization of the flapping dissected intima could be the only sign of a CAD.…”

Section: 3contrasting

confidence: 67%

Flapping of the dissected intima in a case of traumatic carotid artery dissection in a jackhammer worker

Vadikolias

Heliopoulos

Serdari

et al. 2009

J of Clinical Ultrasound

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We present the sonographic finding of flapping of the dissected intima inside the carotid artery in a 48-year-old man who suffered an acute stroke after vigorous use of a jackhammer. The dissected intima was seen to flap inside the lumen regularly and in synchrony with the vessel's pulse. There was no distal segmental stenosis. The extracranial blood flow velocities were within normal limits and transcranial Doppler examination did not reveal any velocity alteration.

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Section: 3contrasting

confidence: 67%

Flapping of the dissected intima in a case of traumatic carotid artery dissection in a jackhammer worker

Vadikolias

Heliopoulos

Serdari

et al. 2009

J of Clinical Ultrasound

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“…3,[9][10][11] Only 10% of patients display immediate symptoms; 55% develop symptoms in the first 24 hours after dissection and 35% have no symptoms until 24 hours or more after injury. Shearing forces on the stretched artery induced by a rotation-hyperextension or distraction-flexion injury have been described as the main pathophysiological mechanism.…”

Section: Discussionmentioning

confidence: 99%

Traumatic internal carotid artery dissection

Yang

Huang

Chuang

et al. 2006

Journal of Clinical Neuroscience

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“…Intracranial atherosclerosis is most commonly found in the middle cerebral artery (MCA) stem, the A1 segment of the anterior cerebral artery (ACA), and in the distal vertebral (VA) and basilar (BA) arteries [10]. Narrowing of the intracranial arteries also may be due to dissection [11], vasculitis [12], or arteriopathy related to sickle cell disease [13]. The use of TCD to screen and document the presence of intracranial arterial stenosis has been a revolution in the non-invasive evaluation of intracranial circulation.…”

Section: Intracranial Stenosismentioning

confidence: 99%

Transcranial Doppler Ultrasonography: Current Status

Razumovsky¹

2005

CMIR

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The transcranial Doppler ultrasonography (TCD) was introduced into the practice of medicine in 1986 and has been used extensively in a variety of in-and out-patient settings. TCD provides a quantitative assessment of cerebral hemodynamics and measures linear cerebral blood flow velocity (CBFV) in cm/sec. Due to its noninvasiveness and easy applications, TCD examinations have gained an important role in the very early phase, as well during the repetitive assessment of cerebrovascular diseases. This has led to a broad application of TCD in out-patients, in-patients, emergency and intraoperative settings.TCD allows interrogation of the cerebral circulation in a safe, noninvasive, repeatable and cost-effective manner. TCD within 24 hours of symptoms onset improves the early accuracy of stroke subtype diagnosis in patients with large artery atherosclerosis. Early detection may affect therapeutic strategies in patients with acute cerebral ischemia or extra-or intracranial lesions (symptomatic or asymptomatic). The unique ability of TCD to monitor CBFV continuously and detect the time course of changes is invaluable in the Intensive Care Unit, during carotid surgery, certain endovascular procedures, etc. TCD helps guide decision making to prevent or minimize the effects of stroke, brain injury and it is a significant addition to the armamentarium of medicine.

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Diagnosis of traumatic carotid artery dissection by transcranial Doppler ultrasound: Case report and review of the literature

Cited by 23 publications

References 9 publications

Flapping of the dissected intima in a case of traumatic carotid artery dissection in a jackhammer worker

Flapping of the dissected intima in a case of traumatic carotid artery dissection in a jackhammer worker

Traumatic internal carotid artery dissection

Transcranial Doppler Ultrasonography: Current Status

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