Spontaneous internal carotid artery dissection.
Once considered uncommon, spontaneous dissection of the carotid artery is an increasingly recognized cause of stroke, headache, cranial nerve palsy, or ophthalmologic events, especially in young adults. Even in the presence of existing signs and symptoms, the diagnosis can be missed by experienced physicians of all specialties. We report a case of spontaneous internal carotid artery dissection in a 38-year-old woman with a cortical stroke and visual disturbances as initial symptoms. The diagnosis was confirmed by magnetic resonance imaging/angiography and by angiography. Prompt anticoagulation was instituted, and the patient had complete resolution of symptoms. Cervicocephalic arterial dissection should be included in the differential diagnosis of the causes of cerebrovascular events.
Khimenko
L P
LP
Department of Medicine, University of South Alabama, Mobile 36617-2293, USA.
Esham
H R
HR
Ahmed
W
W
D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D020215:Carotid Artery, Internal, Dissection / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D002544:Cerebral Infarction / Q000209:etiology* / Q000473:pathology; D003389:Cranial Nerve Diseases / Q000209:etiology; D005260:Female; D006801:Humans; D018810:Magnetic Resonance Angiography; D011379:Prognosis; D014786:Vision Disorders / Q000209:etiology
D000925:Anticoagulants