Imaging of cervical artery dissection

被引：61

作者：

Ben Hassen, W. ^{[1
,2
]}

Machet, A. ^{[1
,2
,4
]}

Edjlali-Goujon, M. ^{[1
,2
]}

Legrand, L. ^{[1
,2
]}

Ladoux, A. ^{[1
,2
]}

Mellerio, C. ^{[1
,2
]}

Bodiguel, E. ^{[1
,2
]}

Gobin-Metteil, M. -P. ^{[1
,2
]}

Trystram, D. ^{[1
,2
]}

Rodriguez-Regent, C. ^{[1
,2
]}

Mas, J. -L. ^{[1
,2
]}

Plat, M. ^{[1
,2
]}

Oppenheim, C. ^{[1
,2
]}

Meder, J. -F. ^{[1
,2
]}

Naggara, O. ^{[1
,2
,3
]}

机构：

[1] Paris Descartes Univ, Ctr Psychiat & Neurosci Inserm UMR 894, Paris, France

[2] Univ Paris 05, Serv Neuroradiol, Ctr Hosp St Anne, Fac Med,Sorbonne Paris Cite, F-75014 Paris, France

[3] Hop Necker Enfants Malad, Serv Radiol Pediat, F-75007 Paris, France

[4] Ctr Hosp, Serv Radiol, Le Mans, France

来源：

DIAGNOSTIC AND INTERVENTIONAL IMAGING | 2014年 / 95卷 / 12期

关键词：

Arterial dissection; Mural haematoma; MRA; High resolution MRI; Cerebrovascular accident; INTERNAL CAROTID-ARTERY; TERM-FOLLOW-UP; MULTISECTION CT ANGIOGRAPHY; ACUTE ISCHEMIC-STROKE; RISK-FACTORS; MR-ANGIOGRAPHY; ULTRASOUND FINDINGS; CONNECTIVE-TISSUE; COMPUTED-TOMOGRAPHY; VERTEBRAL ARTERIES;

D O I：

10.1016/j.diii.2014.10.003

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Cervical artery dissection (CAD) may affect the internal carotid and/or the vertebral arteries. CAD is the leading cause of ischemic stroke in patients younger than 45 years. Specific treatment (aspirin or anticoagulants) can be implemented once the diagnosis of CAD has been confirmed. This diagnosis is based on detection of a mural haematoma on ultrasound or on MRI. The diagnosis can be suspected on contrast-enhanced MRA (magnetic resonance angiography) or CT angiography, in case of long stenosis, sparing the internal carotid bulb, or suspended, at the junction of V2 and V3 segments of the vertebral artery, in patients with no signs of atheroma of the cervical arteries. MRI is recommended as the first line imaging screening tool, including a fat suppressed T1 weighted sequence, acquired in the axial or oblique plane at 1.5T, or 3D at 3T. Complete resolution of the lumen abnormality occurred in 80% of cases, and CAD recurrence is rare, encountered in less than 5% of cases. Interventional neuroradiology (angioplasty and/or stenting of the dissected vessel) may be envisaged in rare cases of haemodynamic effects with recurring clinical infarctions in the short-term.(C) 2014 Editions francaises de radiologie. Published by Elsevier Masson SAS. All rights reserved.

引用

页码：1151 / 1161

页数：11

共 98 条

[41] Long-term follow-up of aneurysms developed during extracranial internal carotid artery dissection [J].