BACKGROUND: Cervical carotid dissection is more common in extracranical vessel: internal carotid artery dissection (ICAD) is typical, vertebral artery dissection is uncommon, common carotid artery dissection (CCAD) is rare and even a more rare cause of ischemic stroke. Cervical artery dissections account up to 20-25% of ischemic strokes in young patients. Isolated and spontaneous common carotid artery dissection without aortic damage is unique. Indeed in the Literature 8 cases were identified. MRI and CTA were the most commonly used for diagnosis and follow-up. CASE REPORT: A 67-year-old came to our observation reporting burning pain in the right latero-cervical region in supine position, irradiated in the temporal region and recurrent episodes of migraine with aura (scintillating scotoma), in the last 3 months. The last Doppler Ultrasound control, performed after the onset of symptoms, showed an highlighted dissection wall with double lumen at the origin of the bulb and the internal c

A 67-year-old came to our observation reporting burning pain in the right latero-cervical region in supine position, irradiated in the temporal region and recurrent episodes of migraine with aura (scintillating scotoma), in the last 3 months. No evidence-based guidelines exists for treatment of CCAD. In our patient surgical CEA treatment was the optimal solution.

Surgical treatment of spontaneous common carotid dissection A case report / Salvati, Bruno; Tesori, Mc; Lombardo, F; Donello, C; Lange, Kj; Capoano, Raffaele. - In: ANNALI ITALIANI DI CHIRURGIA. - ISSN 2239-253X. - ELETTRONICO. - 18:85(2014), pp. 1-4.

Surgical treatment of spontaneous common carotid dissection A case report.

SALVATI, Bruno;Donello C;CAPOANO, Raffaele
2014

Abstract

BACKGROUND: Cervical carotid dissection is more common in extracranical vessel: internal carotid artery dissection (ICAD) is typical, vertebral artery dissection is uncommon, common carotid artery dissection (CCAD) is rare and even a more rare cause of ischemic stroke. Cervical artery dissections account up to 20-25% of ischemic strokes in young patients. Isolated and spontaneous common carotid artery dissection without aortic damage is unique. Indeed in the Literature 8 cases were identified. MRI and CTA were the most commonly used for diagnosis and follow-up. CASE REPORT: A 67-year-old came to our observation reporting burning pain in the right latero-cervical region in supine position, irradiated in the temporal region and recurrent episodes of migraine with aura (scintillating scotoma), in the last 3 months. The last Doppler Ultrasound control, performed after the onset of symptoms, showed an highlighted dissection wall with double lumen at the origin of the bulb and the internal c
2014
A 67-year-old came to our observation reporting burning pain in the right latero-cervical region in supine position, irradiated in the temporal region and recurrent episodes of migraine with aura (scintillating scotoma), in the last 3 months. No evidence-based guidelines exists for treatment of CCAD. In our patient surgical CEA treatment was the optimal solution.
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Surgical treatment of spontaneous common carotid dissection A case report / Salvati, Bruno; Tesori, Mc; Lombardo, F; Donello, C; Lange, Kj; Capoano, Raffaele. - In: ANNALI ITALIANI DI CHIRURGIA. - ISSN 2239-253X. - ELETTRONICO. - 18:85(2014), pp. 1-4.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/606793
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