BILATERAL INTERNAL CAROTID ARTERY DISSECTION WITH CONFUSION

2015 ◽  
Vol 86 (11) ◽  
pp. e4.76-e4
Author(s):  
Ambika Kapoor ◽  
Krishna Chinthapalli ◽  
Graham Warner
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Brain Magnetic Resonance Imaging ◽  
Cerebral Hypoperfusion ◽  
Horner’S Syndrome ◽  
Artery Dissection ◽  
Horner's Syndrome ◽  
Cognitive Changes ◽  
The Right

Bilateral internal carotid artery (ICA) dissections are rare. Typical clinical presentation includes cerebral ischaemia, neck/headache, Horner's syndrome & pulsatile tinnitus1.We present a forty-two year old right-handed man admitted to hospital with a ten day gradual onset headache, altered taste, widespread cognitive impairments, horizontal diplopia and a right Horner's syndrome. There was no history of trauma. Brain magnetic resonance imaging revealed multiple small embolic infarcts in carotid territories of both cerebral hemispheres. Computed tomography angiogram (CTA) of intracranial and extracranial vessels revealed occlusion of the left ICA and attenuation of the right ICA below the skull base.Symptoms resolved within 3–5 days of starting sub-cutaneous low molecular weight heparin and he was then anticoagulated with warfarin for six months. Repeat CTA at 4 months showed persisting complete left ICA occlusion but complete recanalisation of the right ICA.This is the first description of cognitive changes following bilateral ICA artery dissections. Whilst ICA dissection presentations are usually explained by embolic phenomena or local effects upon ICA walls, the mechanism here is probably due to cerebral hypoperfusion. Cognitive assessment should be performed in all patients presenting with ICA dissection especially when it is bilateral.

scholarly journals Horner’s Syndrome due to a Spontaneous Internal Carotid Artery Dissection after Deep Sea Scuba Diving

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Jose Enrique Alonso Formento ◽  
Jose Luis Fernández Reyes ◽  
Blanca Mar Envid Lázaro ◽  
Teresa Fernández Letamendi ◽  
Ryth Yeste Martín ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Deep Sea ◽  
Internal Carotid ◽  
Scuba Diving ◽  
Carotid Artery Dissection ◽  
Horner’S Syndrome ◽  
Artery Dissection ◽  
Internal Carotid Artery Dissection ◽  
Horner's Syndrome

Internal carotid artery dissection (ICAD) is a rare entity that either results from traumatic injury or can be spontaneously preceded or not by a minor trauma such as sporting activities. It represents a major cause of stroke in young patients. The diagnosis should be suspected with the combination of Horner’s syndrome, headache or neck pain, and retinal or cerebral ischaemia. The confirmation is frequently made with a magnetic resonance angiography (MRA). Although anticoagulation with heparin followed by vitamin-K-antagonists is the most common treatment, there is no difference in efficacy of antiplatelet and anticoagulant drugs at preventing stroke and death in patients with symptomatic carotid dissection. We describe a patient with ICAD following deep sea scuba diving, who presented with Horner’s syndrome and neck pain and was successfully treated with anticoagulants.

Internal Carotid Artery Dissection Resulting in Horner’s Syndrome

2013 ◽  
Vol 45 (2) ◽  
pp. 252-253 ◽  
Author(s):  
Aroosha Safari ◽  
Conor O'Toole ◽  
Seamus Murphy ◽  
Michael McCormick ◽  
Gavin Briggs
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Carotid Artery Dissection ◽  
Horner’S Syndrome ◽  
Artery Dissection ◽  
Internal Carotid Artery Dissection ◽  
Horner's Syndrome

scholarly journals Cervical artery dissection—an easily neglected cause of stroke: a case report

BMC Neurology ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ya -Hui Lian ◽  
Xin Chen ◽  
De- Rui Kong ◽  
Wei Chen ◽  
Ming-Chao Shi ◽  
...  
Keyword(s):  
Young People ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Vascular Occlusion ◽  
Artery Dissection ◽  
High Signal ◽  
Cervical Artery Dissection ◽  
Cervical Artery ◽  
The Right

Abstract Background In recent years, the incidence of stroke has gradually increased in young people. There are many reasons causing stroke, including atherosclerosis, artery embolization, and cervical artery dissection and so on. However, cervical artery dissection is a major cause of stroke in young people. We present a case of ischemic stroke caused by dissection, whose distal vascular occlusion due to detachment of the thrombosis in the right internal carotid artery. Case presentation A 33-year-old male patient was admitted to the hospital because of stroke. Imaging examination showed that there was no visualization of the right middle cerebral artery and there were a large number of mural thrombus in the C1 segment of the right internal carotid artery. After emergency surgery, the patient had vascular recanalization and the symptoms were significantly improved. Magnetic resonance imaging showed a high signal in the C1 segment of the right internal carotid artery, the abnormal signal disappeared after antiplatelet therapy. Conclusions When a patient has symptoms of stroke, we need to explore the root cause of stroke. Especially in young people, cervical artery dissection is an important reason that can’t be ignored. Through review and analysis of this case, we hope to improve the understanding of radiologists and clinicians about the cervical artery dissection, reduce the rate of misdiagnosis, and improve patients’ prognosis.

Agenesis of Internal Carotid Artery in a Child with Ipsilateral Horner's Syndrome

2009 ◽  
Vol 24 (1) ◽  
pp. 101-104 ◽  
Author(s):  
Carmen Fons ◽  
Monica Vasconcelos ◽  
Mariona Vidal ◽  
Ramón Puy ◽  
Antonio Capdevila ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Horner’S Syndrome ◽  
Horner's Syndrome

Horner’s syndrome secondary to internal carotid artery occlusion

2021 ◽  
Vol 14 (2) ◽  
pp. e234973
Author(s):  
Saadat Ali Saleemi ◽  
Ramesh Sahathevan
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Sympathetic Innervation ◽  
Artery Occlusion ◽  
Carotid Artery Occlusion ◽  
Horner’S Syndrome ◽  
Horner's Syndrome ◽  
Carotid Disease ◽  
Complete Occlusion

Horner’s syndrome results from interruption of the sympathetic innervation to the eye. This interruption may occur at three anatomical levels along the sympathetic trunk pathway. There are numerous causes of Horner’s syndrome, including injury to the carotid artery, of which arterial dissection is the commonest pathology. Occlusive carotid disease secondary to atherosclerosis is a relatively rare cause of Horner’s syndrome. We describe a patient with Horner’s syndrome due to complete occlusion of the ipsilateral internal carotid artery.

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