title: Spontaneous carotid dissection.
abstract: Spontaneous internal carotid dissection typically occurs in young or middle-aged patients. It is associated with a high rate of recovery and low mortality. Anticoagulant and antiplatelet drugs fail to demonstrate a significant improvement when compared with placebo. A 38 year-old woman with spontaneous dissection of the internal carotid artery diagnosed by MRI is reported. She had an excellent recovery without treatment and no recurrent attack occurred after one year of follow-up. The clinical manifestations, diagnostic tests and treatment of spontaneous internal carotid disection are briefly reviewed in this communication.
authors.affiliation: Department of Pharmacology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
authors.forename: N
authors.initials: N
authors.lastname: Israsena
authors.forename: K
authors.initials: K
authors.lastname: Phanthumchinda
authors.forename: S
authors.initials: S
authors.lastname: Sinsawaiwong
authors.forename: S
authors.initials: S
authors.lastname: Lerdlum
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000175:diagnosis / Q000473:pathology*; D001241:Aspirin / Q000008:administration & dosage; D002340:Carotid Artery Diseases / Q000175:diagnosis / Q000473:pathology*; D002343:Carotid Artery, Internal; D002561:Cerebrovascular Disorders / Q000209:etiology; D005260:Female; D006801:Humans; D010975:Platelet Aggregation Inhibitors / Q000008:administration & dosage; D011379:Prognosis
chemical_list: D010975:Platelet Aggregation Inhibitors; D001241:Aspirin