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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2023
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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 |
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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 |
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