Document Detail

An unusual case of carotid dissection.
MedLine Citation:
PMID:  20562155     Owner:  NLM     Status:  In-Process    
Carotid dissection is a rare, but potentially fatal, cause of ischaemic stroke in young patients. It occurs when a small tear forms in the tunica intima of the arterial wall creating a space between the inner and outer layers of the vessel where blood can enter and form a haematoma. This can cause a stenosis or complete occlusion. Thromboembolic events are thought to be the cause of infarction in the majority of cases of stroke, rather than haemodynamic insufficiency, in patients with carotid dissection. Although traditionally thought to be most commonly caused by head or neck trauma, spontaneous carotid dissection is now an increasingly recognised cause of stroke in young patients. Clinical signs can often be subtle, with mild cerebral or cranial nerve dysfunction. Here, a case is reported of a spontaneous internal carotid artery dissection in a previously well 38-year-old man. An appropriate imaging modality is important to confirm the diagnosis before commencing anticoagulation treatment.
S Mazhary; S Dev; A Mentzer
Related Documents :
9342985 - Qt interval changes following neck dissection. a stratified prospective study.
21145265 - Fascial closure following percutaneous endovascular aneurysm repair.
18216385 - Ruptured cerebral aneurysm and acute coronary artery dissection in the setting of multi...
10714025 - Aorto-bronchial fistula after implantation of a self-expanding bronchial stent in a pat...
19944825 - Alternative option in the treatment of very small ruptured intracranial aneurysms.
21686395 - Essential thrombocythaemia presenting with subclavian artery thrombosis and multiple em...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Emergency medicine journal : EMJ     Volume:  27     ISSN:  1472-0213     ISO Abbreviation:  Emerg Med J     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-06-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100963089     Medline TA:  Emerg Med J     Country:  England    
Other Details:
Languages:  eng     Pagination:  486     Citation Subset:  IM    
Emergency Department, St Thomas' Hospital, Westminster Bridge Road, London, UK.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  Importance of close surveillance for Charcot arthropathy in diabetic patients presenting to the emer...
Next Document:  Management of persistent wide QRS in flecainide overdose with magnesium sulphate.