title: Stroke in a healthy 46-year-old man.
abstract: This article presents the case of a healthy 46-year-old man who experienced a dissection of the internal carotid artery. The diagnosis of this condition is not usually clear-cut, especially in a young patient with unremarkable medical history, and because of the similarity of symptoms with migraine. Often there is no obvious cause of a cerebral artery dissection, although subtle abnormalities of connective tissue may be present. Anticoagulation is generally used for therapy, but clinical trials are lacking. Carotid artery dissection should be considered as a cause of stroke in young healthy adults.
authors.affiliation: Cerebrovascular Division, Johns Hopkins University School of Medicine, Baltimore, MD, USA. rwityk@jhmi.edu
authors.forename: R J
authors.initials: RJ
authors.lastname: Wityk
mesh_terms: D000925:Anticoagulants / Q000627:therapeutic use; D020215:Carotid Artery, Internal, Dissection / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D002533:Cerebral Angiography; D002544:Cerebral Infarction / Q000175:diagnosis / Q000209:etiology; D003937:Diagnosis, Differential; D006732:Horner Syndrome; D006801:Humans; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D008881:Migraine Disorders; D026741:Physical Therapy Modalities; D020521:Stroke / Q000175:diagnosis / Q000209:etiology*; D014859:Warfarin / Q000627:therapeutic use
chemical_list: D000925:Anticoagulants; D014859:Warfarin