Spontaneous carotid—jugular fistula and carotid dissection in a patient with multiple intracranial arachnoid cysts and hemifacial atrophy: a generalized connective tissue disorder?

✓ The authors report a case of a 45-year-old woman with pulsatile tinnitus who was found to have an unusual spontaneous fistula between the petrous internal carotid artery and internal jugular vein. The fistula resolved spontaneously, possibly related to daily manual compression of the ipsilateral common carotid artery. The patient also had a contralateral carotid artery dissection, multiple intracranial arachnoid cysts, and hemifacial atrophy. Her medical history was significant for easy bruisibility, abnormal scarring, and mitral valve prolapse. This association appears unique and may represent a previously undescribed generalized connective tissue disorder.

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CT demonstration of spontaneous internal carotid artery dissection

Journal of Neurosurgery ◽

10.3171/jns.1985.63.5.0792 ◽

1985 ◽

Vol 63 (5) ◽

pp. 792-793 ◽

Cited By ~ 9

Author(s):

David J. Lubbers ◽

Thomas A. Tomsick

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Internal Carotid ◽

Ct Scanning ◽

Carotid Artery Dissection ◽

Radiographic Evaluation ◽

Artery Dissection ◽

Internal Carotid Artery Dissection ◽

Intravenous Contrast ◽

Content Type

✓ A case of internal carotid artery dissection is presented. It was diagnosed by computerized tomography (CT) and confirmed by angiography. The typical clinical presentation and radiographic evaluation are briefly reviewed. High-resolution CT scanning with intravenous contrast enhancement is a valuable diagnostic aid in the diagnosis of this entity.

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Internal carotid artery triple dissection and Ehlers-Danlos-like skin lesions related to pregnancy and childbirth: hormonal-implicated transient connective tissue disorder?

Aktuelle Neurologie ◽

10.1055/s-2007-987844 ◽

2007 ◽

Vol 34 (S 2) ◽

Author(s):

HJ Gdynia ◽

P Kühnlein ◽

R Huber

Keyword(s):

Carotid Artery ◽

Connective Tissue ◽

Internal Carotid Artery ◽

Internal Carotid ◽

Skin Lesions ◽

Connective Tissue Disorder ◽

Pregnancy And Childbirth

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Horner syndrome as the sole manifestation of an ipsilateral intrapetrous internal carotid artery dissection

Revue Neurologique ◽

10.1016/j.neurol.2020.10.004 ◽

2021 ◽

Author(s):

B. Hebant ◽

R. Lefaucheur ◽

C. Delpierre ◽

O.-W. Ozlem

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Internal Carotid ◽

Carotid Artery Dissection ◽

Artery Dissection ◽

Internal Carotid Artery Dissection ◽

Horner Syndrome

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Internal carotid artery dissection related to abnormalities of styloid process: is it only a matter of length?

Neurological Sciences ◽

10.1007/s10072-021-05350-8 ◽

2021 ◽

Author(s):

Valentina Tardivo ◽

Antonio Castaldi ◽

Giuseppe Baldino ◽

Giacomo Siri ◽

Mattia Bruzzo ◽

...

Keyword(s):

Carotid Artery ◽

Internal Carotid Artery ◽

Internal Carotid ◽

Styloid Process ◽

Carotid Artery Dissection ◽

Artery Dissection ◽

Internal Carotid Artery Dissection

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Distal Cervical Carotid Artery Dissection after Carotid Endarterectomy: A Complication of Indwelling Shunt

International Journal of Vascular Medicine ◽

10.1155/2010/816937 ◽

2010 ◽

Vol 2010 ◽

pp. 1-2 ◽

Cited By ~ 4

Author(s):

Tomonori Tamaki ◽

Node Yoji ◽

Norihiro Saito

Keyword(s):

Carotid Artery ◽

Carotid Endarterectomy ◽

Rare Case ◽

Internal Carotid ◽

Carotid Artery Dissection ◽

Artery Dissection ◽

Internal Carotid Artery Dissection ◽

Surgical Methods ◽

Distal Internal Carotid Artery ◽

Technical Factors

The technical factors and surgical methods employed in carotid endarterectomy are controversial. In particular, whether or not to use an indwelling arterial shunt during carotid endarterectomy remains a source of conflict. We describe a rare case in which uncomplicated carotid endarterectomy was followed by distal internal carotid artery dissection and suggest that this devastating complication was due to intimal damage produced by the use of an indwelling arterial shunt.

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