Spontaneous carotid dissection

Flumignan, Carolina Dutra Queiroz; Flumignan, Ronald Luiz Gomes; Nakano, Luís Carlos Uta; Amorim, Jorge Eduardo de

doi:10.1590/1806-9282.63.05.397

Cited by 4 publications

(2 citation statements)

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“…The leading cause is a tear in the intimal layer of the artery, followed by blood accumulation under arterial pressure. The result is either stenosis/occlusion of the arterial lumen or thrombosis at the dissection site, which can cause downstream emboli [ 19 , 20 ]. In our patient, the distal V2 segment of the vertebral artery was dissected.…”

Section: Discussionmentioning

confidence: 99%

Postpartum Acute Basilar Artery Occlusion Secondary to Vertebral Artery Dissection. Case Report and Literature Review

Drăghici

Mărginean

Filep

et al. 2021

The Journal of Critical Care Medicine

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Female patients in the peripartum and postpartum periods have an increased risk of stroke than nonpregnant women. Cerebrovascular complications of pregnancy represent a significant cause of maternal mortality and morbidity and are potentially disabling. Acute basilar artery occlusion secondary to spontaneous vertebral artery dissection in the postpartum period is an infrequent entity and a major diagnostic and treatment challenge. In the present case, a 37-year-old female patient, eight weeks after caesarean delivery, presented with a history of sudden cervical pain, followed by headache and dizziness. Some hours later, she was found unconscious by her family and was transferred to the emergency department, where a neurological status assessment suggested vertebrobasilar stroke. The imagistic workup revealed right vertebral artery dissection and basilar artery occlusion without constituted ischemic lesions. The patient underwent endovascular intervention with dilation of the narrowed vertebral artery and stent retriever basilar artery thrombectomy, with a favourable clinical outcome. This report first presents the details of this case and the relevant literature data on postpartum arterial dissections and the subsequent ischemic complications and available treatment options.

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Section: Discussionmentioning

confidence: 99%

Postpartum Acute Basilar Artery Occlusion Secondary to Vertebral Artery Dissection. Case Report and Literature Review

Drăghici

Mărginean

Filep

et al. 2021

The Journal of Critical Care Medicine

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“…Korábban a hagyományos digitális szubtrakciós angiográfia (DSA) volt a dissectiodiagnosztika "gold standarja". A DSA korlátai, illetve lehetséges iatrogén szövődményei miatt azonban háttérbe szorult a noninvazív képalkotó eljárások (carotis-vertebralis duplex szonográfia, CT és CT-angiográfia, MR és MR-angiográfia) fejlődésének köszönhetően [4,9].…”

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A nyaki ütőerek dissectiója – 19 eset retrospektív elemzése

et al. 2019

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Cervical artery dissection is a common cause of stroke in young adults. It might occur shortly after a forceful neck trauma or a minor injury. However, spontaneous dissection is also common, which is associated with genetic, anatomical or environmental risk factors. Cervical artery dissection can produce a broad spectrum of clinical presentation varying from local symptoms to focal neurological deficits determined by the arterial territory involved. Early recognition is important since immediate initiation of treatment can significantly improve patient outcomes. While clinical features may raise suspicion for dissection, the diagnosis has to be confirmed by neuroimaging findings. The purpose of this paper is to give an overview on cervical (carotid and vertebral) artery dissections while presenting 19 cases. During three years, we evaluated the clinical features, risk factors, diagnostic and therapeutic procedures of these patients admitted with extracranial artery dissection. The prognosis of the disease can vary, 42% of our patients became asymptomatic. Orv Hetil. 2019; 160(22): 861–868.

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