Carotid artery dissection

被引：16
作者：
Selim M. [1 ]
Caplan L.R. [1 ]
机构：
[1] Beth Israel Deaconess Medical Center, Division of Cerebrovascular Diseases, Boston, MA 02215
来源：
Current Treatment Options in Cardiovascular Medicine | 2004年 / 6卷 / 3期
关键词：
Internal Carotid Artery; Artery Dissection; Arterial Dissection; Carotid Artery Dissection; Cervical Artery Dissection;
D O I：
10.1007/s11936-996-0020-z
中图分类号：
学科分类号：
摘要：
Dissection of the carotid artery in the neck is a relatively common condition. Most dissections are spontaneous, likely related to activities that cause sudden stretch of the pharyngeal portion of the carotid artery. Many patients do not develop brain ischemia but have a triad of neck and head pain, Horners syndrome, and pulsatile tinnitus. Others present with transient or persistent brain ischemia. Strokes are due to the embolization of thrombus material from the lumen of the dissected artery to the intracranial arteries, most often the middle cerebral artery. Although there have been no randomized therapeutic trials in patients with carotid artery dissection, experience shows that standard anticoagulants in the form of heparin followed by Coumadin (Du Pont Pharma, Wilmington, DE) are effective in preventing further artery-to-artery emboli. Copyright © 2004 by Current Science Inc.
引用
收藏
页码：249 / 253
页数：4
相关论文
共 28 条
  • [1] Caplan L.R., Nonatherosclerotic vasculopathies, Caplan's Stroke, A Clinical Approach, pp. 295-342, (2000)
  • [2] Mokri B., Sundt T.M., Houser O.W., Piepgras D.G., Spontaneous dissection of the cervical internal carotid artery, Ann. Neurol., 19, pp. 126-138, (1986)
  • [3] Schievink W., Spontaneous dissection of the carotid and vertebral arteries, N. Engl. J. Med., 344, pp. 898-906, (2001)
  • [4] Barbour P.J., Castaldo J.E., Rae-Grant A.D., Et al., Internal carotid artery redundancy is significantly associated with dissection, Stroke, 25, pp. 1201-1206, (1994)
  • [5] Peters M., Bohl J., Thomke F., Et al., Dissection of the internal carotid artery after chiropractic manipulation of the neck, Neurology, 45, pp. 2284-2286, (1995)
  • [6] Brandt T., Hausser I., Orberk E., Et al., Ultrastructural connective tissue abnormalities in patients with spontaneous cervicocerebral artery dissections, Ann. Neurol., 44, pp. 281-285, (1998)
  • [7] Brandt T., Oberk E., Weber R., Et al., Pathogenesis of cervical artery dissections. Association with connective tissue abnormalities, Neurology, 57, pp. 24-30, (2001)
  • [8] Biousse V., Schaison M., Touboul P.J., Et al., Ischemic optic neuropathy associated with internal carotid artery dissection, Arch. Neurol., 55, pp. 715-719, (1998)
  • [9] Mokri B., Silbert P.L., Schievink W., Piepgras D.G., Cranial nerve palsy in spontaneous dissection of the extracranial internal carotid artery, Neurology, 46, pp. 356-359, (1996)
  • [10] Sturzenegger M., Ultrasound findings in carotid artery dissection: Analysis of 43 patients, Neurology, 45, pp. 691-698, (1995)
123