Cargando…

Internal carotid artery dissection with different interventions and outcomes: two case reports

Spontaneous internal carotid artery dissection (ICAD) is a rare disease and an important cause of stroke in young patients. The presentation of ICAD is variable and atypical. We have used three-dimensional T1-weighted volume isotropic turbo spin-echo acquisition to help diagnose ICAD. ICAD should be...

Descripción completa

Detalles Bibliográficos
Autores principales: Zheng, Chong, Zhou, Hongwei, Zhao, Kexin, Kong, Derui, Ji, Tiefeng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9926001/
https://www.ncbi.nlm.nih.gov/pubmed/36772988
http://dx.doi.org/10.1177/03000605231154379
_version_ 1784888179775504384
author Zheng, Chong
Zhou, Hongwei
Zhao, Kexin
Kong, Derui
Ji, Tiefeng
author_facet Zheng, Chong
Zhou, Hongwei
Zhao, Kexin
Kong, Derui
Ji, Tiefeng
author_sort Zheng, Chong
collection PubMed
description Spontaneous internal carotid artery dissection (ICAD) is a rare disease and an important cause of stroke in young patients. The presentation of ICAD is variable and atypical. We have used three-dimensional T1-weighted volume isotropic turbo spin-echo acquisition to help diagnose ICAD. ICAD should be considered in young patients presenting with relevant symptoms in an emergency setting. We herein report ICAD with an unexplained onset in two patients. Neither had a history of large or small cervical trauma, but both had a history of hypertension. The first patient was a 33-year-old man who presented with upper extremity numbness and mobility impairment, and the second patient was a 40-year-old man with onset of visual impairment. There were no obvious triggers in either case. Both patients were diagnosed with ICAD by blood vessel examination. However, their prognoses differed. The first patient recovered after endovascular therapy, whereas the second patient was successfully managed with medical treatment. ICAD can cause different symptoms depending on where the dissection occurs. Clinicians must be aware of the different clinical manifestations of ICAD, make the correct diagnosis in a timely manner, make appropriate treatment plans according to the patient’s condition, and strive for timely recanalization of the blood vessels.
format Online
Article
Text
id pubmed-9926001
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher SAGE Publications
record_format MEDLINE/PubMed
spelling pubmed-99260012023-02-15 Internal carotid artery dissection with different interventions and outcomes: two case reports Zheng, Chong Zhou, Hongwei Zhao, Kexin Kong, Derui Ji, Tiefeng J Int Med Res Case Reports Spontaneous internal carotid artery dissection (ICAD) is a rare disease and an important cause of stroke in young patients. The presentation of ICAD is variable and atypical. We have used three-dimensional T1-weighted volume isotropic turbo spin-echo acquisition to help diagnose ICAD. ICAD should be considered in young patients presenting with relevant symptoms in an emergency setting. We herein report ICAD with an unexplained onset in two patients. Neither had a history of large or small cervical trauma, but both had a history of hypertension. The first patient was a 33-year-old man who presented with upper extremity numbness and mobility impairment, and the second patient was a 40-year-old man with onset of visual impairment. There were no obvious triggers in either case. Both patients were diagnosed with ICAD by blood vessel examination. However, their prognoses differed. The first patient recovered after endovascular therapy, whereas the second patient was successfully managed with medical treatment. ICAD can cause different symptoms depending on where the dissection occurs. Clinicians must be aware of the different clinical manifestations of ICAD, make the correct diagnosis in a timely manner, make appropriate treatment plans according to the patient’s condition, and strive for timely recanalization of the blood vessels. SAGE Publications 2023-02-11 /pmc/articles/PMC9926001/ /pubmed/36772988 http://dx.doi.org/10.1177/03000605231154379 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by-nc/4.0/Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Reports
Zheng, Chong
Zhou, Hongwei
Zhao, Kexin
Kong, Derui
Ji, Tiefeng
Internal carotid artery dissection with different interventions and outcomes: two case reports
title Internal carotid artery dissection with different interventions and outcomes: two case reports
title_full Internal carotid artery dissection with different interventions and outcomes: two case reports
title_fullStr Internal carotid artery dissection with different interventions and outcomes: two case reports
title_full_unstemmed Internal carotid artery dissection with different interventions and outcomes: two case reports
title_short Internal carotid artery dissection with different interventions and outcomes: two case reports
title_sort internal carotid artery dissection with different interventions and outcomes: two case reports
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9926001/
https://www.ncbi.nlm.nih.gov/pubmed/36772988
http://dx.doi.org/10.1177/03000605231154379
work_keys_str_mv AT zhengchong internalcarotidarterydissectionwithdifferentinterventionsandoutcomestwocasereports
AT zhouhongwei internalcarotidarterydissectionwithdifferentinterventionsandoutcomestwocasereports
AT zhaokexin internalcarotidarterydissectionwithdifferentinterventionsandoutcomestwocasereports
AT kongderui internalcarotidarterydissectionwithdifferentinterventionsandoutcomestwocasereports
AT jitiefeng internalcarotidarterydissectionwithdifferentinterventionsandoutcomestwocasereports