Spontaneous carotid artery dissection in pregnancy

Spontaneous carotid artery dissection.

Spontaneous intracranial carotid artery dissection.

A previously healthy 46-year-old woman had the abrupt onset of aphasia and right hemiplegia from a large left-hemisphere infarct. At postmortem examination the cause of the infarct was dissection and occlusion of the intracranial carotid artery. No preexisting abnormality was found to account for the dissection. This uncommon cause of stroke and its pathogenesis are discussed.

Endovascular management of spontaneous carotid artery dissection.

OBJECTIVE Despite medical therapy, a subset of patients with spontaneous carotid artery dissection (SCD) experience recurrent or progressive symptoms. In this study, we assessed the safety and efficacy of endovascular stent angioplasty in the treatment of SCD. METHODS Seven consecutive patients with SCD underwent endovascular stent angioplasty of a total of 12 vessels. Indications included th...

Recanalization of Spontaneous Carotid Artery Dissection

Background and Purpose—We set out to investigate the predictors and time course for recanalization of spontaneous dissection of the cervical internal carotid artery (SICAD). Methods—We prospectively included 249 consecutive patients (mean age, 45 11 years) with 268 SICAD. Ultrasound examinations were performed at presentation, during the first month, and then at 3, 6, and 12 months, and clinica...

Endovascular Treatment of Spontaneous Carotid Artery Dissection

Spontaneous carotid artery dissection (SCAD) is a common cause of ischaemic stroke in young patients. Though SCAD is usually defined as carotid artery dissection without trauma, a minor traumatic event is often revealed by a detailed medical interview. An association with intrinsic vessel structure has been reported in connective tissue disease, pregnancy and the postpartum period, and in infec...