Document Detail


Bilateral internal carotid artery dissection due to trivial trauma.
MedLine Citation:
PMID:  10863116     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Internal carotid artery dissection (ICAD) is a known cause of unilateral headache and focal cerebral ischemic symptoms. Other symptoms include oculosympathetic paresis, facial pain, neck pain, subjective carotid bruits, and cranial nerve deficits. Traumatic dissection has an obvious precipitating incident preceding the neurologic or visual symptoms. An ICAD that occurs spontaneously or from trivial trauma usually lacks an obvious incident and thus requires awareness of its possibility for accurate detection and treatment. Dissections arise from a defect in the internal elastic lamina allowing penetration of blood into the arterial wall. Despite its low incidence, ICAD must be considered in young to middle-aged patients who present with headache and transient cerebral or retinal ischemic symptoms. This report describes a patient who had bilateral internal carotid artery dissections following trivial trauma. The etiologies, clinical manifestations, diagnostic modalities, treatment options, and outcomes of ICAD are discussed.
Authors:
W W Lee; E R Jensen
Related Documents :
18046546 - Neuroapplication of amplatzer vascular plug: a novel device for parent artery occlusion.
22664876 - Preoperative intra-aortic balloon pumping in high-risk cardiac surgery patients.
21792156 - Endovascular techniques for limb salvage in diabetics with crural and pedal disease.
21894406 - Osteopontin expression and its possible functions in the aortic disorders and coronary ...
23550206 - Vascular graft thrombosis secondary to activated protein c resistance: a case report an...
17307436 - Risk factors associated with reoperation and mortality in 252 patients after aortic val...
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of emergency medicine     Volume:  19     ISSN:  0736-4679     ISO Abbreviation:  J Emerg Med     Publication Date:  2000 Jul 
Date Detail:
Created Date:  2000-08-17     Completed Date:  2000-08-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8412174     Medline TA:  J Emerg Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  35-41     Citation Subset:  IM    
Affiliation:
Division of Emergency Medicine, University of Utah Medical Center, Salt Lake City, UT 84132, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Bicycling*
Carotid Artery, Internal, Dissection / diagnosis,  etiology*
Carotid Stenosis / diagnosis
Female
Humans
Magnetic Resonance Angiography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Paradoxical embolism-report of a case involving four organ systems.
Next Document:  Traumatic pneumomediastinum caused by isolated blunt facial trauma: a case report.