Article (Scientific journals)
Dissections spontanées de la carotide interne. A propos de sept cas avec revue de la littérature
Van Damme, Hendrik; Martin, Didier; Stassen, M. P. et al.
1990In Journal des Maladies Vasculaires, 15 (1), p. 14-22
Peer Reviewed verified by ORBi
 

Files


Full Text
J Mal Vasc 15 (1990) 14-22 - Van Damme - Dissections carotides.pdf
Publisher postprint (7.14 MB)
Request a copy

All documents in ORBi are protected by a user license.

Send to



Details



Abstract :
[en] Since 1978, the authors have observed 7 cases of dissecting aneurysm in the internal carotid artery. Symptoms were severe headache and subsequent neurologic deficit in young persons (3 women, 4 men; mean age 35 years). The underlying pathology was spontaneous dissection of the cervical internal carotid artery, with surgical confirmation in 3 cases and typical angiographic patterns in all cases. Spontaneous dissection of the cervical internal carotid artery is being increasingly recognized as a cause of cerebral ischemia in young adults. Moreover this clinicopathologic event is more common than had previously been supposed. The etiology remains unclear, except in 15% of cases in which dystrophy of the media (Marfan's syndrome) is in cause. No history of cervical trauma can be found. Typical clinical features consist in ipsilateral headache preceding an abrupt neurologic deficit in a 40-year-old person. An incomplete Horner syndrome (oculosympathetic paresis without facial anhidrosis) associated with facial pain and numbness is pathognomonic, but the majority of dissections are less typical. The typical angiographic pattern is an elongated regular stenosis of the high cervical internal carotid artery, 2 cm above the non-involved bulbus ("string sign"). The dissection may modify to a tapered occlusion above the point of origin of the internal carotid artery. The natural course is spontaneous resolution of the stricture, without relapse. Optimal management is non-operative since medical treatment has proved to be efficient. These cases confirm the benign course and overall good prognosis of spontaneous dissections of the internal carotid artery which are not as rare as the scarcity of reports might indicate.(ABSTRACT TRUNCATED AT 250 WORDS)
Disciplines :
Surgery
Author, co-author :
Van Damme, Hendrik ;  Université de Liège - ULiège > Département des sciences cliniques > Département des sciences cliniques
Martin, Didier  ;  Université de Liège - ULiège > Département des sciences cliniques > Neurochirurgie
Stassen, M. P.
Limet, Raymond ;  Université de Liège - ULiège > Département des sciences cliniques > Chirurgie cardio-vasculaire et thoracique
Language :
French
Title :
Dissections spontanées de la carotide interne. A propos de sept cas avec revue de la littérature
Alternative titles :
[en] spontaneous Dissection of the Internal Carotid Artery. Apropos of 7 Cases and a Review of the Literature
Publication date :
1990
Journal title :
Journal des Maladies Vasculaires
ISSN :
0398-0499
Publisher :
Elsevier Masson, Paris, France
Volume :
15
Issue :
1
Pages :
14-22
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 27 February 2009

Statistics


Number of views
150 (7 by ULiège)
Number of downloads
4 (3 by ULiège)

Scopus citations®
 
10
Scopus citations®
without self-citations
6

Bibliography


Similar publications



Contact ORBi