Noninflammatory Disorders of the Arterial Wall

Arnold, Marcel; Sturzenegger, Mathias

doi:10.1017/cbo9780511544897.061

Cited by 5 publications

(5 citation statements)

References 554 publications

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“…The former is primarily an erythrocytefibrin clot, 4 whereas the latter is related to embolism of a platelet clot from the carotid plaque. 5 Thus, the response to IV rt-PA treatment should differ as well.…”

Section: Discussionmentioning

confidence: 99%

“…The importance of the presence of occlusive CAD and tandem lesions, which have been associated with poor prognosis after IV thrombolysis, has been suggested the presence of occlusive CAD and tandem lesions, which have been been associated with poor prognosis after IV thrombolysis. 3,4 Here we report a patient with an occlusive internal carotid artery (ICA) dissection and distal embolus diagnosed at the time of admission. Cranial computed tomography (CT) on admission was normal, with left middle cerebral artery (MCA) penumbra demonstrated on perfusion CT. Intracranial and extracranial CT angiography revealed a left ICA occlusion (Fig 1A) with intracranial recanalization (due to ophthalmic artery and anterior communicating artery patency) along with a left MCA occlusion (Fig 1B), suggesting ICA dissection with a distal embolus.…”

mentioning

confidence: 99%

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Is Intravenous Thrombolysis Useful in Carotid Artery Dissection With Tandem Occlusion?

Delgado¹,

García²,

Murias³

2012

Journal of Stroke and Cerebrovascular Diseases

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Is Intravenous Thrombolysis Useful in Carotid Artery Dissection With Tandem Occlusion?

Delgado¹,

García²,

Murias³

2012

Journal of Stroke and Cerebrovascular Diseases

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“…It refers to the intramural hemorrhage of the extracranial arterial segments. The vertebral artery and the internal carotid artery are affected in 90% of the cases [16]. Their cervical extracranial segments are most susceptible to dissection due to their mobility and close proximity to adjacent bone structures such as the transverse processes of the cervical vertebrae.…”

Section: Nonatherosclerotic Noninflammatory Angiopathiesmentioning

confidence: 99%

“…A blood clot typically forms at the segment of artery affected. The thrombus is not firmly attached to the intimal layer and can easily embolize distally [15,16,18]. Dissection of the carotid or vertebral arteries can be accompanied by several signs or symptoms.…”

Section: Nonatherosclerotic Noninflammatory Angiopathiesmentioning

confidence: 99%

Ischemic Stroke in Young Adults: Practical Diagnosis Guide

Mihai¹,

Pleşa²,

Axelerad³

et al. 2021

Ischemic Stroke

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With its increasing incidence in younger population and as a leading cause of disability, ischemic stroke represents a real public health problem. This chapter aims to evaluate the most common risk factors and causes for ischemic stroke in the young. Though some are identical to those found in older patients, most of them are specific to this population segment. Furthermore, another objective is to provide some guidance in approaching the case based on some important clinical clues. Due to the lack of universal management guidelines, it is up to the physician to judge the particularities of each case and to carry out the variety of investigations necessary for determining the cause.

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“…Burada eritrosit fibrin pıhtısı eski olabilir, oysa karotid plağından emboli ile ilişkili gelişen platelet pıhtısı ise yeni gelişmiş olabilir. Böyle durumlarda IVT'ye yanıt değişmektedir (14,15).…”

Section: Introductionunclassified

A case of carotid dissection having significant benefit from thrombolytic treatment

Güler¹,

Utku²,

Tuncel³

et al. 2013

Türk Beyin Damar Hast Derg

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ÖZETKarotis arter diseksiyonuna bağlı iskemik inmeler gençlerde daha sık görülmekle birlikte tüm inmeler içerisinde yaklaşık %2-5 oranındadır. 56 yaşında solak erkek hasta ani gelişen sol hemiparezi ve afazi yakınması ile acil serviste değerlendirildi. NIH skoru 24 olan ve Kranial BT'si normal olarak değerlendirilen olguya IV trombolitik tedavi uygulandı. 24 saat sonraki NIH skoru ise 14'e indi. Aynı gün yapılan ekstrakranial Doppler USG'de, Kranial MRG ve MR anjio'da karotis diseksiyonu ile uyumlu bulgular tespit edildi. 5 gün sonra tekrarlanan MR anjio'da parsiyel rekanalizasyon izlendi. Tekrarlanan Kranial BT'de sadece striokapsüler infarkt tespit edildi. Komplikasyon olarak herhangi bir kanama bulgusu izlenmedi. Burada oldukça nadir görülen ekstrakranial internal karotis diseksiyonu sonrası İV trombolitik tedavinin oldukça güvenli olduğuna ve diseksiyon olmayan olgular ile karşılaştırıldığında diseksiyon vakalarında kanama komplikasyonu ve prognoz açısından farklılık olmadığına bu olgu eşliğinde dikkat çekilmiştir. Anahtar Sözcükler: Karotis diseksiyonu, trombolitik tedavi, prognoz. A CASE OF CAROTID DISSECTION HAVING SIGNIFICANT BENEFIT FROM THROMBOLYTIC TREATMENT ABSTRACTIschemic stroke due to carotid artery dissection is more common among young people and it accounts about 2-5% of all strokes. A 56 year old left landed male patient was evaluated for left-sided hemiparesis and aphasia in the emergency department. His cranial CT was assessed normal and NIH score was assessed 24 then he undergone thrombolytic therapy. His NIH score was decreased to 14 after 24 hours. At extracranial dupplex USG, cranial MRI and MR-Angiography, done the same day there were findings for carotid dissection. At MR-anjio repeated 5 days later, partial recanalization were seen. At control cranial CT only striocapsüler infarct was seen. There was no any evidence of bleeding as complication. Here we present a rare case of extracranial carotid artery dissection case undergone IV thrombolytic therapy and want to take attention that in carotid dissection IV thrombolytic therapy is quiet safe and there is no difference of complication such as hemorrhage and the prognosis is no different then those with no carotid dissection.

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Noninflammatory Disorders of the Arterial Wall

Cited by 5 publications

References 554 publications

Is Intravenous Thrombolysis Useful in Carotid Artery Dissection With Tandem Occlusion?

Is Intravenous Thrombolysis Useful in Carotid Artery Dissection With Tandem Occlusion?

Ischemic Stroke in Young Adults: Practical Diagnosis Guide

A case of carotid dissection having significant benefit from thrombolytic treatment

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