Spontaneous bilateral internal carotid artery dissection with acute stroke in young patients

Hsiu Chuan Wu, Yi Chun Chen, Chi Jen Chen, Sien Tsong Chen, Tsong Hai Lee

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13 Citations (Scopus)

Abstract

We studied the clinical and neuroradiological features of 41 cases with spontaneous bilateral internal carotid artery dissection (ICAD), including 3 cases in our hospital and 38 retrieved from the English literature. Bilateral ICAD accounts for 15.8% of young stroke patients with ICAD in our hospital. The most common presentations are head and/or neck pain, cerebral ischemia, carotid bruit and Horner's syndrome. The cerebral ischemic symptoms are extremely variable in bilateral ICAD, including unilateral hemisphere, bilateral hemisphere or brainstem-like symptoms. Although the underlying pathogenesis remains uncertain, good vascular and clinical outcomes are achieved for spontaneous bilateral ICAD.

Original languageEnglish
Pages (from-to)230-234
Number of pages5
JournalEuropean Neurology
Volume56
Issue number4
DOIs
Publication statusPublished - Dec 2006
Externally publishedYes

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Keywords

  • Carotid artery
  • Cerebrovascular disease
  • Dissection
  • Stroke, young age

ASJC Scopus subject areas

  • Clinical Neurology

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