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Common carotid artery dissection diagnosed by ultrasonic image: report of a case.

Authors
  • Tzeng, S S
  • Hu, H H
  • Kao, K P
  • Chu, F L
Type
Published Article
Journal
Journal of the Formosan Medical Association = Taiwan yi zhi
Publication Date
Dec 01, 1990
Volume
89
Issue
12
Pages
1093–1095
Identifiers
PMID: 1982680
Source
Medline
License
Unknown

Abstract

Carotid artery dissection is not uncommon and usually starts at the internal carotid artery. It rarely begins in the common carotid artery. It may cause symptoms of cerebral vascular insufficiency such as stroke and transient ischemic attacks. The case reported here is a 38-year-old man with an acute onset of left hemiparesis 2 hours after drinking three bottles of beer. Computed tomographic scan showed cerebral infarction in the territory of the right middle and anterior cerebral arteries. Ultrasonic imagings showed an intimal flap, starting at the bifurcation of the right common carotid artery, indicative of arterial dissection. Angiography confirmed the diagnosis and the arterial dissection appeared to extend into and terminate at the internal carotid artery.

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