| Carotid artery dissection: three cases and a review of the literature. | |
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MedLine Citation:
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PMID: 21817907 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Carotid artery dissections are potentially disabling, probably underdiagnosed, and mainly affect young-aged and middle-aged people. We present three consecutive cases illustrating different clinical presentations and thereby emphasizing the diagnostic challenge of carotid artery dissections for the emergency physician. Neck and facial pain, headache, unilateral pulsatile tinnitus, partial Horner's syndrome (or oculosympathetic palsy), amaurosis fugax, retinal infarction, and anterior circulation brain ischemia may all occur in isolation or in various combinations. Medical imaging plays a pivotal role in making the right diagnosis. Clinical vigilance is of utmost importance as early diagnosis and timely treatment favor long-term prognosis and even prevent ischemic complications. We review the literature and discuss the pathophysiology, etiology, clinical presentation, diagnosis, imaging techniques, treatment, and prognosis of carotid dissections. |
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Authors:
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Dan Schelfaut; Erwin Dhondt; Sylvie De Raedt; Koenraad Nieboer; Ives Hubloue |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: European journal of emergency medicine : official journal of the European Society for Emergency Medicine Volume: 19 ISSN: 1473-5695 ISO Abbreviation: Eur J Emerg Med Publication Date: 2012 Jun |
Date Detail:
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Created Date: 2012-04-30 Completed Date: 2012-08-30 Revised Date: 2013-02-06 |
Medline Journal Info:
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Nlm Unique ID: 9442482 Medline TA: Eur J Emerg Med Country: England |
Other Details:
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Languages: eng Pagination: 181-7 Citation Subset: IM |
Affiliation:
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Department of Emergency Medicine, Universitair Ziekenhuis Brussel, Brussels, Belgium. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Age Factors Aneurysm, Dissecting / diagnosis, pathology*, surgery Carotid Arteries / pathology* Coronary Angiography Diagnosis, Differential Female Humans Ischemia Male Middle Aged Prognosis Tomography, X-Ray Computed / instrumentation Treatment Outcome |
| Comments/Corrections | |
Comment In:
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Eur J Emerg Med. 2013 Feb;20(1):64
[PMID:
23263611
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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