Intrapetrous internal carotid artery dissection and essential thrombocythemia: what relationship? A case report.
Internal carotid artery (ICA) dissection is responsible for 10-20% of strokes in young and middle-aged patients. Isolated ICA dissection involving the intrapetrous carotid canal is particularly rare, and no case has been reported to describe an association between intrapetrous ICA dissection and essential thrombocythemia. We report a case of ischemic stroke in the presence of intrapetrous right ICA dissection and essential thrombocythemia. The diagnosis of essential thrombocythemia was performed by bone marrow biopsy. The essential thrombocythemia may cause endothelial dysfunction and predispose to vascular damage such as carotid artery dissection.
D'Ambrosio
Daniele
D
Department of Internal Medicine, Cardiovascular Sciences, and Immunology, University Federico II, Naples, Italy.
Della-Morte
David
D
Department of Internal Medicine, Cardiovascular Sciences, and Immunology, University Federico II, Naples, Italy.|Department of Neurology, University of Miami, Miller School of Medicine, Miami, FL - 33101, USA.
Gargiulo
Gaetano
G
Department of Internal Medicine, Cardiovascular Sciences, and Immunology, University Federico II, Naples, Italy.
Rossetti
Marianna
M
Department of Internal Medicine, Cardiovascular Sciences, and Immunology, University Federico II, Naples, Italy.
Rundek
Tatjana
T
Department of Neurology, University of Miami, Miller School of Medicine, Miami, FL - 33101, USA.
Rengo
Franco
F
Department of Internal Medicine, Cardiovascular Sciences, and Immunology, University Federico II, Naples, Italy.
Abete
Pasquale
P
Department of Internal Medicine, Cardiovascular Sciences, and Immunology, University Federico II, Naples, Italy.