Spontaneous Dissections of Bilateral Internal Carotid and Vertebral Arteries due to Intractable Vomiting
In young adults, spontaneous craniocervical arterial dissections (sCAD), which involve the major arteries of the head and neck, are associated with an increased risk of stroke. sCAD occurs in the absence of major trauma as seen in traumatic craniocervical artery dissection. It may affect unilateral...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2022/8156047 |
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| author | Gift Echefu Rameela Mahat Raju Vatsavai Steven Zuckerman |
| author_facet | Gift Echefu Rameela Mahat Raju Vatsavai Steven Zuckerman |
| author_sort | Gift Echefu |
| collection | DOAJ |
| description | In young adults, spontaneous craniocervical arterial dissections (sCAD), which involve the major arteries of the head and neck, are associated with an increased risk of stroke. sCAD occurs in the absence of major trauma as seen in traumatic craniocervical artery dissection. It may affect unilateral or bilateral carotid or vertebral arteries. Cases of spontaneous bilateral carotid and vertebral artery dissections occurring simultaneously are extremely rare. We present a case of a 49-year-old female with no history of arteriopathy who presented with aphasia and right upper extremity weakness and was found to have dissections in bilateral extracranial and intracranial carotid arteries, as well as the bilateral vertebral arteries. She had symptomatic improvement with antithrombotic therapy and aggressive outpatient rehabilitation. |
| format | Article |
| id | doaj-art-d9779201a35d4f5baaea1e4ebc1500ca |
| institution | OA Journals |
| issn | 2090-6994 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Vascular Medicine |
| spelling | doaj-art-d9779201a35d4f5baaea1e4ebc1500ca2025-08-20T02:21:16ZengWileyCase Reports in Vascular Medicine2090-69942022-01-01202210.1155/2022/8156047Spontaneous Dissections of Bilateral Internal Carotid and Vertebral Arteries due to Intractable VomitingGift Echefu0Rameela Mahat1Raju Vatsavai2Steven Zuckerman3Baton Rouge General Medical CentreBaton Rouge General Medical CentreHospital Medicine GroupBaton Rouge Clinic NeurologyIn young adults, spontaneous craniocervical arterial dissections (sCAD), which involve the major arteries of the head and neck, are associated with an increased risk of stroke. sCAD occurs in the absence of major trauma as seen in traumatic craniocervical artery dissection. It may affect unilateral or bilateral carotid or vertebral arteries. Cases of spontaneous bilateral carotid and vertebral artery dissections occurring simultaneously are extremely rare. We present a case of a 49-year-old female with no history of arteriopathy who presented with aphasia and right upper extremity weakness and was found to have dissections in bilateral extracranial and intracranial carotid arteries, as well as the bilateral vertebral arteries. She had symptomatic improvement with antithrombotic therapy and aggressive outpatient rehabilitation.http://dx.doi.org/10.1155/2022/8156047 |
| spellingShingle | Gift Echefu Rameela Mahat Raju Vatsavai Steven Zuckerman Spontaneous Dissections of Bilateral Internal Carotid and Vertebral Arteries due to Intractable Vomiting Case Reports in Vascular Medicine |
| title | Spontaneous Dissections of Bilateral Internal Carotid and Vertebral Arteries due to Intractable Vomiting |
| title_full | Spontaneous Dissections of Bilateral Internal Carotid and Vertebral Arteries due to Intractable Vomiting |
| title_fullStr | Spontaneous Dissections of Bilateral Internal Carotid and Vertebral Arteries due to Intractable Vomiting |
| title_full_unstemmed | Spontaneous Dissections of Bilateral Internal Carotid and Vertebral Arteries due to Intractable Vomiting |
| title_short | Spontaneous Dissections of Bilateral Internal Carotid and Vertebral Arteries due to Intractable Vomiting |
| title_sort | spontaneous dissections of bilateral internal carotid and vertebral arteries due to intractable vomiting |
| url | http://dx.doi.org/10.1155/2022/8156047 |
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