Spontaneous carotid dissection
Israsena, N.; Phanthumchinda, K.; Sinsawaiwong, S.; Lerdlum, S.
Journal of the Medical Association of Thailand 80(6): 406-410
1997
ISSN/ISBN: 0125-2208 PMID: 9240017 Document Number: 1217
Spontaneous internal carotid dissection typically occurs in young or middle-aged patients. It is associated with a high rate of recovery and low mortality. Anticoagulant and antiplatelet drugs fail to demonstrate a significant improvement when compared with placebo. A 38 year-old woman with spontaneous dissection of the internal carotid artery diagnosed by MRI is reported. She had an excellent recovery without treatment and no recurrent attack occurred after one year of follow-up. The clinical manifestations, diagnostic tests and treatment of spontaneous internal carotid dissection are briefly reviewed in this communication.
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