Document Detail

Spontaneous dissection of the cervical internal carotid artery: correlation of arteriography, CT, and pathology.
MedLine Citation:
PMID:  3492119     Owner:  NLM     Status:  MEDLINE    
Spontaneous dissection of the internal carotid artery is being recognized as a more frequent cause of acute neurologic deficit, particularly in young persons. Saccular pseudoaneurysm formation may be an associated finding, especially in the presence of tortuosity (coiling) of the cervical internal carotid artery. Of eight patients with nine vessels demonstrating internal carotid artery dissection on arteriography, pseudoaneurysms were found in five arteries. Four of the five pseudoaneurysms occurred in tortuous (coiled) arterial segments. Thin-section contrast-enhanced dynamic incremental CT showed close agreement with the findings on selective arteriography and provided additional information on the presence and configuration of arterial wall thickening as well as the extent of the pseudoaneurysm. Our experience indicates that CT may play an important role in the diagnosis, management, and follow-up of this lesion.
G R Petro; G A Witwer; E D Cacayorin; C J Hodge; C E Bredenberg; M S Jastremski; S A Kieffer
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  AJR. American journal of roentgenology     Volume:  148     ISSN:  0361-803X     ISO Abbreviation:  AJR Am J Roentgenol     Publication Date:  1987 Feb 
Date Detail:
Created Date:  1987-02-19     Completed Date:  1987-02-19     Revised Date:  2008-02-15    
Medline Journal Info:
Nlm Unique ID:  7708173     Medline TA:  AJR Am J Roentgenol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  393-8     Citation Subset:  AIM; IM    
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MeSH Terms
Aneurysm, Dissecting / pathology,  radiography*
Carotid Artery Diseases / pathology,  radiography*
Carotid Artery, Internal / pathology,  radiography
Middle Aged
Tomography, X-Ray Computed

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