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Chapter 8.4 - Carotid Artery Dissection

from 8 - Other Non-inflammatory Vasculopathies

Published online by Cambridge University Press:  06 October 2022

Anita Arsovska
By
Füsun Mayda Domaç  and
Mustafa Ülker
Edited by
Derya Uluduz
Anita Arsovska
Affiliation:
University of Ss Cyril and Methodius
Derya Uluduz
Affiliation:
Istanbul Üniversitesi
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Summary

Carotid dissection is found to be as high as 20% in stroke patients younger than 30 years of age. The most common presenting symptom (80-90%) is unilateral headache at the same side of the arterial dissection. We present a 17 year-old male that was admitted to the emergency department with a headache. Bilateral carotid ultrasound with color doppler was suspicious of right carotid artery dissection at the cervical segment, so digital substraction angiography was performed to verify the dissection. On digital substraction angiography, right internal carotid artery was found to thin out and go out of existence at 2-3 cm proximal of the bulbar segment that was compatible with dissection

Keywords

carotid artery dissectionheadachestrokeunilateral headachetransient ischemic attack
Type
Chapter
Information
Rare Causes of Stroke
A Handbook
 , pp. 326 - 330
Publisher: Cambridge University Press
Print publication year: 2022

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References

Lee, VH, Brown, RD, Mandrekar, JN, et al. Incidence and outcome of cervical artery dissection: A population-based study. Neurology. 2006;67: 1809–1812.CrossRefGoogle ScholarPubMed
Blum, CA, Yaghi, S. Cervical artery dissection: A review of the epidemiology, pathophysiology, treatment, and outcome. Arch Neurosci. 2015;2(4): e26670.CrossRefGoogle ScholarPubMed
Hassan, AE, Zacharatos, H, Mohammad, YM, et al. Comparison of single versus multiple spontaneous extra- and/or intracranial arterial dissection. J Stroke Cerebrovasc Dis. 2013;22(1): 42–48.CrossRefGoogle ScholarPubMed
Debette, S, Leys, D. Cervical-artery dissections: Predisposing factors, diagnosis, and outcome. Lancet Neurol. 2009;8: 668–678.CrossRefGoogle ScholarPubMed
Cervical Artery Dissection in Stroke Study (CADISS) Investigators, Markus, HS, Levi, C, King, A, et al. Antiplatelet therapy vs anticoagulation therapy in cervical artery dissection: The Cervical Artery Dissection in Stroke Study (CADISS) randomized clinical trial final results. JAMA Neurol. 2019;76(6): 657.CrossRefGoogle ScholarPubMed

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