Keywords
Cerebral Infarction
Stent
Categories
How to Cite
Abstract
Introduction: Carotid arterial dissection (DAC) represents the rupture of the intimate wall of the artery forming an intramural hematoma, which causes stenosis of its vascular lumen, it is associated with 45\% of cerebral infarction cases in children under 45 years of age. Case Report: A 46-year-old male with an hour-long symptomatology characterized by dizziness and aphasia. The exploration without focalization data, with global aphasia, with normal vital signs, for which a diagnosis of probable cerebral infarction in evolution in the territory of the left midbrain is made, angio-magnetic resonance is performed, finding aortic dissection of left internal carotid artery. ; An intravascular procedure with stent placement was performed. With recovery ad integrum of language. Conclusion: Spontaneous carotid artery dissection requires a high index of suspicion because its symptoms can be highly variable.
References
Henares GP. Disección espontánea de la arteria carótida interna: un reto diagnóstico. Semergen. 2011;37 :219—221 DOI: 10.1016/j.semerg.2010.07.011.
Álvarez MH, Vera UR, Bonnin EE, Arauz GA Disección carotidea bilateral espontánea extracraneal: Reporte de un caso. . Arch Neurocien (Mex) INNN, 2017; 22: 55- 58.
Fisher CM, Ojemann RG, Roberson GH. Spontaneous dissection of cervico-cerebral arteries. Can J Neurol Sci 1978;5:9-19.
Blum CA, Yaghi S. Cervical Artery Dissection: A Review of the Epidemiology, Pathophysiology, Treatment, and Outcome. Arch Neurosci. 2015;2: e 26.
doi: 10.5812/archneurosci.26670
Subedi R, Dean R, Baronos S, Dhamoon A. Carotid artery dissection: a rare complication of Eagle syndrome. BMJ Case Rep. 2017;2017:bcr2016218184. doi:10.1136/bcr-2016-218184
R.W. Baumgartner, J. Bogousslavsky. Clinical manifestations of carotid dissection. Front Neurol Neurosci 2005; 20: 70-76. doi.org/10.1159/000088151.
González TF, Moreno MY, Sánchez CE, Holguín DJ. Disección de vasos arteriales cráneo cervicales. Reporte de casos presentados durante 2 años en una institución clínica de Colombia. Discusión con énfasis en tratamiento. Acta Neurol Colomb. 2018; 34: 85-91.
Goodfriend SD, Tadi P, Koury R. Carotid Artery Dissection. [Updated 2020 Mar 30]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430835.
Furie Karen L, Kasner Scott E, Adams Robert J, Albers Gregory W, Bush Ruth L, Fagan Susan C, et al. Guidelines for the prevention of stroke in patients with stroke or transient ischemic attack. A guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2011; 42:227-236.
Befera N, Griffin AS, Hauck EF. Endovascular repair of an acute symptomatic carotid artery dissection through the false dissecting carotid lumen. Interv Neuroradiol. 2019; 25:51-53.
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2022 Revista de Medicina Clínica