Document Detail


Traumatic bilateral carotid dissection with concomitant cerebral infarction.
MedLine Citation:
PMID:  11165835     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 40-year-old man presented with a major nondominant hemisphere stroke syndrome after a road traffic accident. Cranial computed tomography scan revealed an extensive right hemisphere infarction involving the entire anterior and middle cerebral artery territories. Duplex Doppler ultrasound and cerebral angiography revealed bilateral internal carotid artery dissection with evidence of underlying fibromuscular dysplasia. Anticoagulation with heparin was commenced despite the coexisting large cerebral infarction, with the objective of protecting the uninjured but at-risk left cerebral hemisphere from ischemic injury. Patients with multiple cerebral arterial dissections complicated by cerebral infarction present a significant management dilemma. Our literature review revealed a lack of clear management guidelines for such cases.
Authors:
S J Pittock; J T Moroney; M Alexander; P Brennan; D Moorhouse
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The Journal of emergency medicine     Volume:  20     ISSN:  0736-4679     ISO Abbreviation:  J Emerg Med     Publication Date:  2001 Jan 
Date Detail:
Created Date:  2001-02-22     Completed Date:  2001-05-10     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8412174     Medline TA:  J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  33-8     Citation Subset:  IM    
Affiliation:
Department of Neurology, Beaumont Hospital, Dublin, Ireland.
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MeSH Terms
Descriptor/Qualifier:
Accidents, Traffic*
Adult
Angiography, Digital Subtraction
Carotid Artery, Internal, Dissection / complications*,  diagnosis,  therapy
Cerebral Infarction / diagnosis,  etiology*,  therapy
Fibromuscular Dysplasia / complications*,  diagnosis
Humans
Male
Tomography, X-Ray Computed
Grant Support
ID/Acronym/Agency:
K08 NS 02051/NS/NINDS NIH HHS

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


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