Successful stent placement for cervical artery dissection associated with the Ehlers-Danlos syndrome. Case report and review of the literature.
This 44-year-old man with Ehlers-Danlos syndrome (EDS) Type IV presented with hemiparesis and the Gerstmann syndrome. Left carotid artery (CA) angiography revealed a dissecting aneurysm with severe stenosis located in the common CA; the lesion was successfully treated with a stent graft. The patient's clinical course after endovascular surgery was uneventful, without occurrence of megacolon. The literature for spontaneous CA dissection in EDS Type IV cases is reviewed and points for investigation and treatment are discussed.
Kurata
Akira
A
Department of Neurosurgery, Kitasato University School of Medicine, Yamato Municipal Hospital, Kanagawa, Japan. akirak@med.kitasato-u.ac.jp
Oka
Hidehiro
H
Ohmomo
Taketomo
T
Ozawa
Hitoshi
H
Suzuki
Sachio
S
Fujii
Kiyotaka
K
Kan
Shinichi
S
Miyasaka
Yoshio
Y
Arai
Harue
H
D000328:Adult; D019917:Blood Vessel Prosthesis Implantation; D020215:Carotid Artery, Internal, Dissection / Q000209:etiology* / Q000601:surgery*; D004535:Ehlers-Danlos Syndrome / Q000150:complications*; D006801:Humans; D008297:Male; D015607:Stents