[Spontaneous dissection of the carotid artery].
Spontaneous dissection of the carotid artery is a rare cause of stroke. A 54-year-old man was hospitalized for transient ischemic attack. Duplex ultrasound of cervical arteries showed indirect signs of a dissection of the carotid. Magnetic resonance angiography showed a dissection of the post bulbar segment of the right carotid artery and a right ischemic stroke. Angiography confirmed the diagnosis. The anti-coagulant treatment initialized as soon as the diagnosis of dissection was suspected, was stopped because of a massive cerebral infarct. The course was unfavorable with a persistent hemiplegia.
Fornecker
C
C
Service d'Hypertension et Maladies Vasculaires, Hôpital Civil, BP 126, 67091 Strasbourg.
Griffon
C
C
Knauer
V
V
Rouyer
O
O
Stephan
D
D
D000925:Anticoagulants / Q000627:therapeutic use; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging* / Q000188:drug therapy; D020215:Carotid Artery, Internal, Dissection / Q000000981:diagnostic imaging* / Q000188:drug therapy; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D011859:Radiography; D016896:Treatment Outcome
D000925:Anticoagulants