Postcoital carotid artery dissection associated with acute cerebral infarction: A case report

Ai Hsien Li; Lung Chan; Tun Jao; Yin Kin Wong; Jiann Shing Jeng

Postcoital carotid artery dissection associated with acute cerebral infarction: A case report

Ai Hsien Li, Lung Chan, Tun Jao, Yin Kin Wong, Jiann Shing Jeng

Research output: Contribution to journal › Article › peer-review

Abstract

Carotid arterial dissections may result from spontaneous or traumatic causes. Postcoital arterial dissections have been reported in both the vertebral and coronary arteries. We report a rare case of spontaneous dissection from the common carotid artery to the internal and external carotid arteries after sexual intercourse, leading to fulminant middle cerebral artery (MCA) territory infarct. Although we restored the flow in the proximal carotid artery with stenting, brain swelling with hemorrhagic transformation was still noted in the region of the right MCA.

Original language	English
Pages (from-to)	267-271
Number of pages	5
Journal	Acta Neurologica Taiwanica
Volume	18
Issue number	4
Publication status	Published - Dec 1 2009
Externally published	Yes

Keywords

Acute cerebral infarction
Carotid dissection
Postcoitus

ASJC Scopus subject areas

Clinical Neurology
Neurology

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Cite this

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AU - Li, Ai Hsien

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AU - Jao, Tun

AU - Wong, Yin Kin

AU - Jeng, Jiann Shing

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N2 - Carotid arterial dissections may result from spontaneous or traumatic causes. Postcoital arterial dissections have been reported in both the vertebral and coronary arteries. We report a rare case of spontaneous dissection from the common carotid artery to the internal and external carotid arteries after sexual intercourse, leading to fulminant middle cerebral artery (MCA) territory infarct. Although we restored the flow in the proximal carotid artery with stenting, brain swelling with hemorrhagic transformation was still noted in the region of the right MCA.

AB - Carotid arterial dissections may result from spontaneous or traumatic causes. Postcoital arterial dissections have been reported in both the vertebral and coronary arteries. We report a rare case of spontaneous dissection from the common carotid artery to the internal and external carotid arteries after sexual intercourse, leading to fulminant middle cerebral artery (MCA) territory infarct. Although we restored the flow in the proximal carotid artery with stenting, brain swelling with hemorrhagic transformation was still noted in the region of the right MCA.

KW - Acute cerebral infarction

KW - Carotid dissection

KW - Postcoitus

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