Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-586b7cd67f-2plfb Total loading time: 0 Render date: 2024-11-26T00:02:30.400Z Has data issue: false hasContentIssue false

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
Get access

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

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

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

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×