Spontaneous bilateral internal carotid artery dissection:a case report and literature review
10.3760/cma.j.issn.1671-7368.2017.05.014
- VernacularTitle:自发性双侧颈内动脉夹层伴脑梗死一例并文献复习
- Author:
Fanlong YE
;
Zigao WANG
;
Xiaoli PAN
;
Jie CHEN
;
Ruiman XIE
;
Chunjiu ZHONG
- Keywords:
Carotid artery internal;
Stroke;
Cervical MRI
- From:
Chinese Journal of General Practitioners
2017;16(5):391-394
- CountryChina
- Language:Chinese
-
Abstract:
A patient with multiple ischemic stroke due to spontaneous bilateral internal carotid artery dissection (ICAD) was reported and the epidemiology, neuroimaging, clinical characteristics and treatment of spontaneous bilateral ICAD were reviewed.Spontaneous bilateral ICAD mostly occurs in young and middle-aged individuals and the clinical manifestations are mainly stroke(71.1%), headache and neck pain(62.2%), Horner's syndrome(15.6%) and cranial nerve palsy(11.1%).Cervical axial T1-weighted fat-suppressed image is an alternative to DSA to make the definite diagnosis.Antithrombotic therapy is regularly used and the general clinical outcome is good.Cervical arterial dissection is one of the most common causes of stroke in young and middle-aged patients.Cervical MRI T1-weighted fat suppressed image is crucial for timely diagnosis and initiation of appropriate clinical intervention.
