Spontaneous bilateral internal carotid artery dissection with acute stroke in young patients

被引:11
|
作者
Wu, Hsiu-Chuan
Chen, Yi-Chun
Chen, Chi-Jen
Chen, Sien-Tsong
Lee, Tsong-Hai [1 ]
机构
[1] Chang Gung Mem Hosp, Dept Neurol, Taoyuan 333, Taiwan
[2] Chang Gung Univ, Coll Med, Linkou Med Ctr, Taoyuan 333, Taiwan
[3] I Shou Univ, E Da Hosp, Dept Radiol, Kaohsiung, Taiwan
关键词
dissection; carotid artery; cerebrovascular disease; stroke; young age;
D O I
10.1159/000096491
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We studied the clinical and neuroradiological features of 41 cases with spontaneous bilateral internal carotid artery dissection (ICAD), including 3 cases in our hospital and 38 retrieved from the English literature. Bilateral ICAD accounts for 15.8% of young stroke patients with ICAD in our hospital. The most common presentations are head and/or neck pain, cerebral ischemia, carotid bruit and Horner's syndrome. The cerebral ischemic symptoms are extremely variable in bilateral ICAD, including unilateral hemisphere, bilateral hemisphere or brainstem-like symptoms. Although the underlying pathogenesis remains uncertain, good vascular and clinical outcomes are achieved for spontaneous bilateral ICAD. Copyright (c) 2006 S. Karger AG, Basel.
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页码:230 / 234
页数:5
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