Clinical manifestations of internal carotid artery dissection
- Authors: Kalashnikova L.A.1, Dobrynina L.A.1
-
Affiliations:
- Research Center of Neurology
- Issue: Vol 8, No 1 (2014)
- Pages: 56-60
- Section: Clinical analysis
- URL: https://ogarev-online.ru/2075-5473/article/view/124636
- DOI: https://doi.org/10.17816/psaic189
- ID: 124636
Cite item
Full Text
Abstract
Dissection is the blood entrance from the lumen to vascular wall through the intimal tear. Dissections more often occur in internal carotid artery (ICA). The blood accumulating within the wall (intramural hematoma) may lead to: 1) the compression of the arterial lumen resulting in cerebral ischemia; 2) perivascular nerve damage causing headache, neck pain and Horner syndrome; 3) block of the ostiums of the arteries arising from ICA and supplying cranial nerves with consequent ischemia of these nerves. In this paper we present medical histories of three our patients (out of 88) with ICA dissection and different clinical manifestations. The questions of diagnosis, differential diagnosis and treatment of the ICA dissection are discussed.
About the authors
Ludmila A. Kalashnikova
Research Center of Neurology
Email: kalashnikovancn@yandex.ru
Russian Federation, Moscow
Larisa A. Dobrynina
Research Center of Neurology
Author for correspondence.
Email: kalashnikovancn@yandex.ru
ORCID iD: 0000-0001-9929-2725
D. Sci. (Med.), Head, 3rd Neurological department
Russian Federation, MoscowReferences
- Калашникова Л.А., Гулевская Т.С., Ануфриев П.Л. и др. Ишемический инсульт в молодом возрасте, обусловленный стенозирующим расслоением (диссекцией) интракраниального отдела внутренней сонной артерии и ее ветвей (клинико-морфологическое наблюдение). Анналы клинич. и эксперим. неврологии 2009; 3 (1): 18–24.
- Калашникова Л.А., Гулевская Т.С., Коновалов Р.Н. и др. Поражение каудальной группы черепных нервов при диссекции (расслоении) внутренней сонной артерии. Анналы клинич. и эксперим. неврологии 2008; 1: 22–27.
- Калашникова Л.А., Добрынина Л.А. Диссекция артерий головного мозга. Ишемиеческий инсульт и другие клинические проявления. М.: Вако, 2013: 208.
- Arnold M., Cumurciuc R., Stapf C. et al. Pain as the only symptom of cervical artery. J Neurol Neurosurg Psychiatry. 2006; 77 (9): 1021–1024.
- Baumgartner R.W., Arnold M., Baumgartner I. et al. Carotid dissection with and without ischemic events: Local symptoms and cerebral artery findings. Neurology 2001; 57: 827–832.
- Baumgartner R.W., Bogousslavsky J. Clinical manifestations of carotid dissection. In: Bawngartner R.W., Bogousslavsky J., Caso V., Paciaroni M. (eds): Handbook on cerebral artery dissection. Front Neurol Neurosci Basel, Karger 2005; 20: 70–76.
- Biousse V., D’Anglejan-Chatillon J., Touboul P.-J. et.al. Time course of symptoms in extracranial carotid artery dissections. A series of 80 patients. Stroke 1995; 26: 235–239.
- Caplan L.R. Dissections of brain-supplying arteries. Nature Clinical Practice Neurology 2008; 4, 34–42.
- Debette S., Grond-Ginsbach C.,Bodenant M. et al. Differential features of carotid and vertebral artery dissections: the CADISP study.Neurology. 2011; 77 (12): 1174–1181.
- Guy N., Deffond D., Gabrillargues J. Spontaneous internal carotid artery dissection with lower cranial nerve palsy. Can. J. Neurol. Sci.2001; 28 (3): 265–269.
- Lee V.H., Brown R.D. Jr, Mandrekar J.N., Mokri B. Incidence and outcome of cervical artery dissection: a population-based study. Neurology 2006; 67 (10): 1809–1812.
- Mokri B., Silbert P.L., Schievink W.I., Piepgras D.G. Cranial nerve palsy in spontaneous dissection of the extracranial internal carotid artery. Neurology 1996; 46: 356–359.
- Nusbaum A.O., Som P.M., Dubois P., Silvers A.R. Isolated vagal nerve palsy associated with a dissection of the extracranial internal carotid artery. Am J Neuroradiol. 1998; 19 (10): 1845–1847.
- Paciaroni M., Georgiadis D., Arnold M. et al. Seasonal variability in spontaneous cervical dissection. J NeurolNeurosurg Psychiatry 2005; 77: 677–679.
- Rubinstein S.M., Peerdeman S.M., van Tulder M.W. et.al. A systematic review of the risk factors for cervical artery dissection. Stroke 2005; 36: 1575–1580.
- Schievink W.I. Spontaneous dissection of the carotid and vertebral arteries. N.Engl J. Med. 2001; 344: 898–906.
Supplementary files
