Duplex ultrasound recognition of spontaneous carotid dissection--a case report and review of the literature.
Spontaneous dissection of the internal carotid artery is an uncommon entity with a variable clinical presentation. A high index of suspicion is required to make the diagnosis, and prompt diagnosis and treatment with anticoagulation are essential for improved patient outcomes. Duplex ultrasound provides a safe and reliable imaging modality for early diagnosis and follow-up. The authors present a case of spontaneous internal carotid artery dissection with duplex ultrasound findings and a review of the literature.
Division of Vascular Surgery, Department of Surgery, William Beaumont Hospital, Royal Oak, Michigan 48073, USA.
Amy L
AL
Adkins
Gerald B
GB
Zelenock
Phillip J
PJ
Bendick
Charles J
CJ
Shanley
D000925:Anticoagulants / Q000627:therapeutic use; D020215:Carotid Artery, Internal, Dissection / Q000000981:diagnostic imaging* / Q000188:drug therapy; D002533:Cerebral Angiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D018616:Ultrasonography, Doppler, Duplex
D000925:Anticoagulants