Book contents
- Rare Causes of Stroke
- Rare Causes of Stroke
- Copyright page
- Contents
- Contributors
- Preface
- 1Inflammatory Conditions
- 2Infectious and Postinfectious Vasculitis
- 3Hypercoagulable Causes of Stroke
- 4Drug-Related Stroke
- 5Hereditary and Genetic Causes of Stroke
- 6Rare Causes of Cardioembolism
- 7Vasospastic Conditions and Other Vasculopathies
- 8Other Non-inflammatory Vasculopathies
- Chapter 8.1Moyamoya Disease
- Chapter 8.2Cerebral Amyloid Angiopathy
- Chapter 8.3Dolichoectasia and Fusiform Aneurysms
- Chapter 8.4Carotid Artery Dissection
- 9Venous Occlusive Conditions
- 10Bone Disorders and Stroke
- Index
- References
Chapter 8.4 - Carotid Artery Dissection
from 8 - Other Non-inflammatory Vasculopathies
Published online by Cambridge University Press: 06 October 2022
Book contents
- Rare Causes of Stroke
- Rare Causes of Stroke
- Copyright page
- Contents
- Contributors
- Preface
- 1Inflammatory Conditions
- 2Infectious and Postinfectious Vasculitis
- 3Hypercoagulable Causes of Stroke
- 4Drug-Related Stroke
- 5Hereditary and Genetic Causes of Stroke
- 6Rare Causes of Cardioembolism
- 7Vasospastic Conditions and Other Vasculopathies
- 8Other Non-inflammatory Vasculopathies
- Chapter 8.1Moyamoya Disease
- Chapter 8.2Cerebral Amyloid Angiopathy
- Chapter 8.3Dolichoectasia and Fusiform Aneurysms
- Chapter 8.4Carotid Artery Dissection
- 9Venous Occlusive Conditions
- 10Bone Disorders and Stroke
- Index
- References
Summary
Carotid dissection is found to be as high as 20% in stroke patients younger than 30 years of age. The most common presenting symptom (80-90%) is unilateral headache at the same side of the arterial dissection. We present a 17 year-old male that was admitted to the emergency department with a headache. Bilateral carotid ultrasound with color doppler was suspicious of right carotid artery dissection at the cervical segment, so digital substraction angiography was performed to verify the dissection. On digital substraction angiography, right internal carotid artery was found to thin out and go out of existence at 2-3 cm proximal of the bulbar segment that was compatible with dissection
Information
- Type
- Chapter
- Information
- Rare Causes of StrokeA Handbook, pp. 326 - 330Publisher: Cambridge University PressPrint publication year: 2022
References
Lee, VH, Brown, RD, Mandrekar, JN, et al. Incidence and outcome of cervical artery dissection: A population-based study. Neurology. 2006;67: 1809–1812.CrossRefGoogle ScholarPubMed
Blum, CA, Yaghi, S. Cervical artery dissection: A review of the epidemiology, pathophysiology, treatment, and outcome. Arch Neurosci. 2015;2(4): e26670.CrossRefGoogle ScholarPubMed
Hassan, AE, Zacharatos, H, Mohammad, YM, et al. Comparison of single versus multiple spontaneous extra- and/or intracranial arterial dissection. J Stroke Cerebrovasc Dis. 2013;22(1): 42–48.CrossRefGoogle ScholarPubMed
Debette, S, Leys, D. Cervical-artery dissections: Predisposing factors, diagnosis, and outcome. Lancet Neurol. 2009;8: 668–678.CrossRefGoogle ScholarPubMed
Cervical Artery Dissection in Stroke Study (CADISS) Investigators, Markus, HS, Levi, C, King, A, et al. Antiplatelet therapy vs anticoagulation therapy in cervical artery dissection: The Cervical Artery Dissection in Stroke Study (CADISS) randomized clinical trial final results. JAMA Neurol. 2019;76(6): 657.CrossRefGoogle ScholarPubMed
Accessibility standard: Unknown
Why this information is here
This section outlines the accessibility features of this content - including support for screen readers, full keyboard navigation and high-contrast display options. This may not be relevant for you.Accessibility Information
Accessibility compliance for the HTML of this chapter is currently unknown and may be updated in the future.