The risk of stroke and management of coiling of the cervical internal carotid artery in the absence of an atherosclerotic carotid bulb lesion is unclear. We report a case of an otherwise healthy 39-year-old woman who developed bilateral sequential strokes associated with bilateral coiled internal carotid arteries. We discuss the risk of stroke and management of coiled carotid arteries as they r...

Adequate intracranial collateral circulation reduces risk of stroke in carotid artery surgery. To evaluate their relative accuracies in assessing intracranial collateral blood flow, we prospectively compared transcranial Doppler and continuous-wave Doppler of the cervical carotid arteries combined with compression of the common carotid artery in 28 consecutive patients before carotid endarterec...

BACKGROUND AND PURPOSE Tandem acute thrombotic emboli in the cervical and intracranial arteries are an unusual cause of stroke presenting unique management challenges. In regional systems of acute stroke care anchored by Comprehensive Stroke Centers (CSC), combined fibrinolytic, endovascular, and open surgical intervention is a new therapeutic option. SUMMARY OF CASE A 28-year-old male underw...

PURPOSE Velo-cardio-facial syndrome (VCFS), the most common genetic syndrome causing cleft palate, is associated with internal carotid and vertebral artery anomalies, as well as upper airway asymmetry. Medially displaced internal carotid arteries, often immediately submucosal, present a risk of vascular injury during pharyngeal flap surgery for velopharyngeal insufficiency (VPI). We evaluate th...

146 7 Guillon B, Brunereau L, Biousse V, Djouhri H, Levy C, Bousser MG: Long-term follow-up of aneurysms developed during extracranial internal carotid artery dissection. Neurology 1999; 53: 117–122. 8 Touze E, Randoux B, Meary E, Arquizan C, Meder JF, Mas JL: Aneurysmal forms of cervical artery dissection: associated factors and outcome. Stroke 2001; 32: 418–423. 9 Hart RG, Easton JD: Dissecti...

Objectives: The objective of this case report was to determine radioopacities of the cervical region on panoramic radiographs using doppler ultrasound. Methods: 3 patients with radio-opacities of the cervical region on digital panoramic radiographs were referred to doppler ultrasound for further diagnosis. Results: In 2 cases carotid artery calcifications were identified as an irregular radio-o...