Vertebrobasilar and internal carotid arteries dissection in 188 patients

Brkić, Biljana Georgievski; Jaramaz, Tatjana Dučić; Vukicevic, Marjana; Stanisavljević, Nataša; Kostić, Dejan; Lučić, Miloš; Marinković, Ivan; Apostolović, Tija; Vlašković, Tatjana; Ćirković, Ana; Marinković, Slobodan

doi:10.1016/j.jocn.2021.07.049

Cited by 4 publications

(4 citation statements)

References 108 publications

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“…The classic triad is found in less than 30% of patients; If at least two are present, the diagnosis should be suspected [8]. Intimal tearing and continued blood penetration into the artery wall lead to false lumen formation with intramural hematoma, which can lead to stenosis, vascular occlusion, and thrombus formation [9].…”

Section: Discussionmentioning

confidence: 99%

Ischemic Stroke Secondary to Dissection of the Internal Carotid Artery: A Case Report and a Brief Review

Hayashi-Mercado¹,

Chacón²,

Iñiguez³

et al. 2022

CRCM

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Background: Internal carotid artery (ICA) dissections generally occur when a tear occurs in the intima-media layer, either of traumatic or spontaneous origin. In this scenario, multifocal cerebral thrombosis may be a clear consequence of untreated ICA dissection. The incidence of internal carotid artery dissection in the US is estimated to be 1.72 per 100,000 population per year. Objective: To make a brief review of the literature and to explain, through a clinical case, the scenario of multiple ischemic cerebrovascular events is associated with the dissection of the internal carotid artery, in a young patient with no relevant history. Presentation of the Case: A 46-year-old female patient, with no significant history, who came to the emergency service presenting loss of strength in the right pelvic limb, disordered language, and difficulty walking for 3 hours, in the neurological examination evidence of decreased tendon reflexes and loss of strength of the right side of the body. Imaging studies show compromise of the M2 and M3 segments of the left middle cerebral artery, as well as multiple areas of associated ischemia in this hemisphere. Additional studies identify concomitant left ICA dissection. Based on the findings, it was decided to perform a thrombectomy of the affected area, as well as subsequent placement of a stent in the area of dissection. In the control angioTC study, revascularization of the M2 and M3 segments was observed, and in the follow-up of the patient, complete recovery of the symptoms was observed, with muscle strength, tendon reflexes, and preserved language functions. Conclusions: The ischemic cerebrovascular event is a

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Section: Discussionmentioning

confidence: 99%

Ischemic Stroke Secondary to Dissection of the Internal Carotid Artery: A Case Report and a Brief Review

Hayashi-Mercado¹,

Chacón²,

Iñiguez³

et al. 2022

CRCM

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show abstract

“…The angiographic characteristics of dissecting aneurysms include the pearl and string sign, narrowing, fusiform, dilatation, and occlusion, however, these are not specific [4] . The pathognomonic sign for dissecting aneurysms may be double-lumen sign, but this is infrequently found [1 , 3 , 6] . The optimal surgical procedure has not yet been established, however, surgical methods such as trapping with or without bypass surgery, ligation, or wrapping for ruptured MCA dissecting aneurysms have been reported [7] .…”

Section: Discussionmentioning

confidence: 99%

Subarachnoid hemorrhage due to middle cerebral artery dissection mimicking aneurysm - Case report

Lee

2022

Radiology Case Reports

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“…Lower cranial nerve palsy caused by vascular lesions is rare. Internal carotid arterial dissection is also a relatively rare condition that can cause neck pain and/or ischemic symptoms [2,3]. Lower cranial nerve palsy caused by internal carotid arterial dissection is extremely rare [4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Extracranial Internal Carotid Arterial Dissection With Hypoglossal Nerve Palsy Caused by Cervical Self-Massage: A Case Report

Shibata

2023

Cureus

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Internal carotid arterial dissection is a relatively rare condition that can cause neck pain and/or ischemic symptoms. Cranial nerve palsy caused by internal carotid arterial dissection is extremely rare. A 39-year-old male massaged his neck with his fingers. He experienced transient neck pain. After one week, he demonstrated hypoglossal nerve palsy. The radiological studies revealed extracranial internal carotid arterial dissection. Cervical self-massage may cause internal carotid arterial dissection and hypoglossal nerve palsy. For the patient with hypoglossal nerve palsy, the extracranial internal carotid artery should be investigated.

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Vertebrobasilar and internal carotid arteries dissection in 188 patients

Cited by 4 publications

References 108 publications

Ischemic Stroke Secondary to Dissection of the Internal Carotid Artery: A Case Report and a Brief Review

Ischemic Stroke Secondary to Dissection of the Internal Carotid Artery: A Case Report and a Brief Review

Subarachnoid hemorrhage due to middle cerebral artery dissection mimicking aneurysm - Case report

Extracranial Internal Carotid Arterial Dissection With Hypoglossal Nerve Palsy Caused by Cervical Self-Massage: A Case Report

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