Acute Ischemic Stroke in a 41-year-old Female Secondary to Internal Carotid Artery Dissection: A Case Report
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Abstract
Spontaneous carotid artery dissection is an important cause of ischemic stroke and is most common in young and middle-aged adult patients. Dissection occurs after tearing of the intima layer of the artery causes the formation of a thrombus (intramural), and it leads to thrombosis or embolism. The thrombosis or embolism, in turn, interrupts arterial circulation and, subsequently, induces infarction in the territory of the affected artery. The case of an ischemic vascular event involving the left cerebral hemisphere secondary to a spontaneous dissection of the left internal carotid artery is presented here.
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References
I. Campbell BCV, De Silva DA, Macleod MR, et al. Ischaemic stroke. Nat Rev Dis Primers. 2019;5(1):70. Published 2019 Oct 10. doi:10.1038/s41572-019-0118-8
II. Powers WJ. Acute Ischemic Stroke. N Engl J Med. 2020;383(3):252-260. doi:10.1056/NEJMcp1917030
III. Jauch EC, Saver JL, Adams HP Jr, et al. Guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2013;44(3):870-947. doi:10.1161/STR.0b013e318284056a
IV. Yoshimura S, Sakai N, Yamagami H, et al. Endovascular Therapy for Acute Stroke with a Large Ischemic Region. N Engl J Med. 2022;386(14):1303-1313. doi:10.1056/NEJMoa2118191
V. Kolmos M, Christoffersen L, Kruuse C. Recurrent Ischemic Stroke - A Systematic Review and Meta-Analysis. J Stroke Cerebrovasc Dis. 2021;30(8):105935. doi:10.1016/j.jstrokecerebrovasdis.2021.105935
VI. Schievink WI. Spontaneous dissection of the carotid and vertebral arteries. N Engl J Med. 2001;344(12):898-906. doi:10.1056/NEJM200103223441206
VII. Ewida A, Ahmed R, Luo A, Masoud H. Spontaneous dissection of bilateral internal carotid and vertebral arteries. BMJ Case Rep. 2021;14(3):e241173. Published 2021 Mar 29. doi:10.1136/bcr-2020-241173
VIII. Hakimi R, Sivakumar S. Imaging of Carotid Dissection. Curr Pain Headache Rep. 2019;23(1):2. Published 2019 Jan 19. doi:10.1007/s11916-019-0741-9