Statistics from Altmetric.com
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.
Carotid artery dissection may occur in normal healthy vessels, as well as vessels weakened by primary arteriopathy, but is most common after trauma.1 The American Heart Association/American Stroke Association guidelines (2011) concluded that it is reasonable to treat extracranial carotid artery dissection with antithrombotic medication for at least 3–6 months.2 There is little information on endovascular stenting, but most clinicians agree that this should be used on a case-by-case basis.3
A 46-year-old man, previously well, presented to the emergency department with intermittent right arm and hand weakness, left eye visual loss and word-finding difficulty. An MR scan of brain with diffusion-weighted imaging was normal. A CT angiogram of the head and neck showed a left internal carotid artery dissection. Diffusion-weighted and perfusion imaging showed no increase in transit time …
Contributors All authors contributed equally to the writing of this manuscript and participated in the treatment of the patient.
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed. This paper was reviewed by David Werring, London, UK.
- Editors' commentary
Read the full text or download the PDF:
Other content recommended for you
- Spontaneous dissection of bilateral internal carotid and vertebral arteries
- Use of flow diverter stent for treatment of a cervical carotid artery dissection and pseudoaneurysm causing Horner’s syndrome
- Carotid artery dissection: a case of recurrence
- Endovascular reconstruction for progressively worsening carotid artery dissection
- Staged endovascular reconstruction of complex traumatic intracranial carotid artery dissection
- A young pregnant woman with spontaneous carotid artery dissection––unknown mechanisms
- Endovascular treatment in the acute and non-acute phases of carotid dissection: a therapeutic approach
- Rare case of bilateral traumatic internal carotid artery dissection
- An unusual case of carotid dissection
- Direct carotid puncture for endovascular thrombectomy in acute ischemic stroke