| Cervical Carotid Artery Dissection: Current Review of Diagnosis and Treatment. | |
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MedLine Citation:
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PMID: 22301716 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Carotid artery dissection is a cause of stroke, especially in young and middle-aged patients. A dissections occurs when there is an intimal tear or rupture of the vasa vasorum, leading to an intramural hematoma, which is thought to result from trauma or can occur spontaneously, and is likely multifactorial, involving environmental and intrinsic factors. The clinical diagnosis of carotid artery dissection can be challenging, with common presentations including pain, partial Horner's syndrome, cranial nerve palsies, or cerebral ischemia. With the use of non-invasive imaging, including magnetic resonance and computed tomography angiography, the diagnosis of carotid dissection has increased in frequency. Treatment options include thrombolysis, antiplatelet or anticoagulation therapy, endovascular or surgical interventions. The choice of appropriate therapy remains controversial as most carotid dissections heal on their own and there are no randomized trials to compare treatment options. |
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Authors:
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Raj Ramabhai Patel; Richard Adam; Catherine Maldjian; Christie M Lincoln; Annie Yuen; Amrita Arneja |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-2-1 |
Journal Detail:
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Title: Cardiology in review Volume: - ISSN: 1538-4683 ISO Abbreviation: - Publication Date: 2012 Feb |
Date Detail:
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Created Date: 2012-2-3 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9304686 Medline TA: Cardiol Rev Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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1Bronx-Lebanon Hospital Center, Department of Radiology, Bronx NY 2Montefiore Medical Center, Department of Radiology, Bronx NY 3Westchester Medical Center, Department of Radiology, Valhalla NY 4New York Medical College, Valhalla NY. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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