scholarly journals Compliant balloon angioplasty for the treatment of internal carotid artery dissection

2018 ◽  
Vol 25 (1) ◽  
pp. 47-50
Author(s):  
Nicolas Bricout ◽  
Nasreddine Nouri ◽  
Hilde Henon ◽  
Laurent Estrade ◽  
Fakhreddine Boustia ◽  
...  

This report describes the innovative management of a severe haemodynamic stroke related to an occlusive extracranial internal carotid artery dissection. Intravenous thrombolysis combined with endovascular treatment were undertaken on the basis of a total mismatch profile (National Institutes of Health stroke scale (NIHSS) score of 27 and infarct volume on diffusion-weighted imaging of 0 mL). Balloon angioplasty using a long and compliant balloon microcatheter allowed complete recovery of the intracranial blood flow. The patient showed dramatic clinical improvement (day 1, NIHSS 5) and favourable functional outcome (day 90, modified Rankin scale score 2). Day 90 follow-up brain magnetic resonance imaging revealed no ischaemic change and magnetic resonance angiography assessed the patency of the internal carotid artery.

2011 ◽  
Vol 64 (11-12) ◽  
pp. 575-578 ◽  
Author(s):  
Ivana Divjak ◽  
Petar Slankamenac ◽  
Mirjana Jovicevic ◽  
Tamara Rabi-Zikic ◽  
Aleksandra Lucic-Prokin ◽  
...  

The aim of this study was to analyze the spectrum of clinical presentations of internal carotid artery dissection. Twenty-two patients with internal carotid artery dissection, mean age 39.02, were evaluated over the past ten years. Magnetic resonance imaging and magnetic resonance angiography were used to establish the diagnosis. Facial and neck pain and Horner?s syndrome were the only presenting symptoms in 4 patients (without brain infarction); facial pain, Horner?s syndrome and contralateral sensorimotor deficit in 6; headache and contralateral sensorimotor deficit in 2; contralateral sensorimotor deficit with or without speech impairment in 10. Internal carotid artery dissection was triggered by a trauma in 7, whereas it was spontaneous in 15. Magnetic resonance imaging revealed infarction in 18 patients. A good outcome (modified Rankin score 0-2) was seen in 20 patients. The spectrum of clinical presentations of internal carotid artery dissection is variable. Internal carotid artery dissection is not necessarily accompanied by infarction on magnetic resonance imaging.


1998 ◽  
Vol 11 (1) ◽  
pp. 99-102
Author(s):  
F.A. Lupo ◽  
S.C. Perfetto ◽  
G. Sticchi

We describe a case of left extra and intracranial internal carotid artery dissection in a 59-year-old man who presented with the clinical features of left jugular foramen syndrome (dysphonia, dysphagia, ageusia, paralysis of the sternocleidomastoid muscle) and ipsilateral miosis with acute onset, worsening in the first 24 hours and spontaneous remission over the next thirty days. The patient was investigated by computed tomography magnetic resonance and digital angiography and received conservative treatment. The clinical aspects are discussed, emphasizing the major role of magnetic resonance in the diagnosis of the syndrome.


Author(s):  
Masahiro Oomura ◽  
Takumi Kitamura ◽  
Kenichi Adachi ◽  
Yusuke Nishikawa ◽  
Mitsuhito Mase

Sign in / Sign up

Export Citation Format

Share Document