Carotid artery dissection

@article{Selim2004CarotidAD,
  title={Carotid artery dissection},
  author={Magdy H Selim and Louis R. Caplan},
  journal={Current Treatment Options in Cardiovascular Medicine},
  year={2004},
  volume={6},
  pages={249-253}
}
  • M. Selim, L. Caplan
  • Published 1 June 2004
  • Medicine
  • Current Treatment Options in Cardiovascular Medicine
Opinion statementDissection of the carotid artery in the neck is a relatively common condition. Most dissections are spontaneous, likely related to activities that cause sudden stretch of the pharyngeal portion of the carotid artery. Many patients do not develop brain ischemia but have a triad of neck and head pain, Horner’s syndrome, and pulsatile tinnitus. Others present with transient or persistent brain ischemia. Strokes are due to the embolization of thrombus material from the lumen of the… 
Recurrent embolic stroke originating from an internal carotid aneurysm in a young adult
Extracranial traumatic carotid artery dissections in children: a review of current diagnosis and treatment options.
TLDR
Recommendations include utilizing MR angiography as a screening tool in cases in which the clinical suspicion of CAD is high, using conventional cerebralAngiography to confirm the diagnosis, implementing antiplatelet therapy as initial medical management, and reserving endovascular stenting in cases of failed medical treatment.
Traumatic intracranial and extracranial vascular injuries in children.
Prognosis of spontaneous cervical artery dissection and transcranial Doppler findings associated with clinical outcomes
TLDR
In the occlusive subtype, which is associated with the worst outcome, TCD flow analysis may predict acute stroke progression and long-term outcome, and flow-waveform analysis by TCD could predict functional and anatomical outcomes.
Sudden onset of pain in the eye and blurring of vision
TLDR
A 64 year old man was admitted with sudden onset of pain in his right eye, blurred vision, and double vision on looking to the right, and Examination of his face provided clues to the diagnosis.
Stroke pathophysiology: management challenges and new treatment advances
TLDR
This review aims to shed new light upon the controversy surrounding the management of acute ischemic stroke in an attempt to elucidate why failed clinical trials continue to occur despite promising neuroprotective preclinical studies.
Objective pulsatile tinnitus associated with internal carotid artery loop formation: A case report
TLDR
Pulsatil tinnitus etyolojisinde kan akımında oluşan türbülans, vasküler darlık veya artan kanAkım hızı olabilir, Tinnitus subjektif veya objektif olabilira giderek artan tinn Titus ve unutkanlık şikayetiyle başvurdu.

References

SHOWING 1-10 OF 27 REFERENCES
Dissection of the internal carotid artery after chiropractic manipulation of the neck
TLDR
It is hypothesize that mediolytic arteriopathy was a predisposing factor for the dissection of the internal carotid artery after chiropractic manipulations in a patient who died from a right hemispheric infarction.
Spontaneous dissection of the carotid and vertebral arteries.
  • W. Schievink
  • Medicine
    The New England journal of medicine
  • 2001
When a tear occurs in one of the major arteries in the neck and allows blood to enter the wall of the artery and split its layers, the result is either stenosis or aneurysmal dilatation of the
Spontaneous dissection of the cervical internal carotid artery
TLDR
Despite their disconcerting appearance on angiography, spontaneous dissections of the internal carotid arteries are often associated with a good prognosis.
Internal Carotid Artery Redundancy Is Significantly Associated With Dissection
TLDR
A significant correlation between internal carotid artery redundancy and dissection is found, particularly if redundancy is present bilaterally.
Endovascular management of extracranial carotid artery dissection achieved using stent angioplasty.
TLDR
In select cases of carotid dissection associated with critical hemodynamic insufficiency or thromboembolic events that occur despite medical therapy, endovascular stent placement appears to be a safe and effective method of restoring vessel lumen integrity, with good clinical outcome.
Stenting: A New Approach to Carotid Dissection
TLDR
Although its use is under investigation, percutaneous balloon angioplasty with stents may be an appropriate intervention when other measures do not prevent progressive ischemic events.
“Malignant” Carotid Artery Dissection
TLDR
“Malignant” carotid artery dissection causing occlusions or near occlusion with intracranial embolism is an important cause of severe and life-threatening hemispheric ischemia.
Emergent Endovascular Treatment of a Spontaneous Internal Carotid Artery Dissection with Pseudoaneurysm
  • Albert Tseng, V. Ramaiah, E. Diethrich
  • Medicine
    Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists
  • 2003
TLDR
Covered coronary stents may have a role in the treatment of spontaneous ICA dissection with pseudoaneurysm formation as revealed in a 68-year-old man with severe left-sided neck pain, fever, chills, and vomiting.
Emergent Stenting to Treat Patients With Carotid Artery Dissection: Clinically and Radiologically Directed Therapeutic Decision Making
TLDR
Endovascular stent placement may be an immediate, effective, and safe method of restoring vessel lumen integrity and may be considered for selected patients who are clinically symptomatic despite anticoagulant treatment and in whom neuroimaging methods suggest that the neurological signs originate from a viable, hypoperfused, ischemic penumbra.
Ischemic optic neuropathy associated with internal carotid artery dissection.
TLDR
Ischemic optic neuropathy may occur as an early sign of carotid dissection: young age, previous transient monocular blindness, an association with pain, Horner syndrome, or hemispheric transient ischemic attacks are suggestive of this cause and should prompt confirmatory investigations.
...
1
2
3
...