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

来源：

EUROPEAN NEUROLOGY | 2006年 / 56卷 / 04期

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.

引用

页码：230 / 234

页数：5