title: Common carotid artery dissection caused by radiotherapy: A case report.
abstract: In the present study, a case of acute cerebral infarction with radiation-induced carotid artery dissection is reported. Carotid artery dissection is generally asymptomatic at the early stages. Due to the non-specific clinical manifestations of carotid artery dissection, a detailed inquiry of the past history of a patient has a critical role in making a diagnosis of radiation-induced common carotid artery dissection. Onset of acute ischemic stroke is the predominant manifestation, and for patients with a history of head-and-neck radiotherapy, dissection should be considered. The condition may progress rapidly, and result in a poor prognosis. Therefore, a correct early diagnosis and initiation of appropriate therapy may lead to rapid recovery, and influence the overall prognosis.
authors.affiliation: Department of Neurology, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 201999, P.R. China.
authors.forename: Jiayan
authors.initials: J
authors.lastname: Wang
authors.affiliation: Department of Neurology, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 201999, P.R. China.
authors.forename: Dandan
authors.initials: D
authors.lastname: Yue
authors.affiliation: Department of Neurology, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 201999, P.R. China.
authors.forename: Xin
authors.initials: X
authors.lastname: Chen
authors.affiliation: Department of Neurology, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 201999, P.R. China.
authors.forename: Zhenyu
authors.initials: Z
authors.lastname: Wei
authors.affiliation: Department of Neurology, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 201999, P.R. China.
authors.forename: Wenmei
authors.initials: W
authors.lastname: Lu
authors.affiliation: Department of Neurology, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 201999, P.R. China.
authors.forename: Danhong
authors.initials: D
authors.lastname: Wu
keywords: cerebral angiography; common carotid artery dissection; nasopharyngeal carcinoma; radiotherapy