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Radial ArteryCarotid ArteriesCarotid Artery DiseasesCarotid Artery, InternalCarotid Artery, CommonCarotid StenosisCarotid Artery, ExternalEndarterectomy, CarotidDissectionCarotid Artery ThrombosisArteriesCarotid Artery, Internal, DissectionAneurysm, DissectingCarotid BodyTunica IntimaCarotid SinusCerebral ArteriesVertebral ArteryStentsCerebral AngiographyTunica MediaPulmonary ArteryFemoral ArteryNeck DissectionCarotid Intima-Media ThicknessCarotid Artery InjuriesBasilar ArteryAortic AneurysmUltrasonography, Doppler, DuplexArterial Occlusive DiseasesRenal ArteryMagnetic Resonance AngiographyTomography, X-Ray ComputedAngiographyVertebral Artery DissectionAngioplasty, BalloonSubclavian ArteryMesenteric ArteriesIschemic Attack, TransientTreatment OutcomeAngiography, Digital SubtractionAngioplastyArteriosclerosisEndarterectomyCerebrovascular CirculationIliac ArteryTime FactorsCoronary Artery BypassMammary ArteriesStrokeBrain IschemiaRisk FactorsCerebrovascular DisordersCatheterizationMuscle, Smooth, VascularBrachial ArteryAneurysmFollow-Up StudiesMiddle Cerebral ArteryIntracranial AneurysmUltrasonographyProspective StudiesBlood Vessel Prosthesis ImplantationRetrospective StudiesOphthalmic ArteryBlood PressureAortic Aneurysm, ThoracicIntracranial EmbolismBlood Flow VelocityUltrasonography, Doppler, ColorCerebral InfarctionPostoperative ComplicationsCoronary VesselsIntracranial ArteriosclerosisUltrasonography, Doppler, TranscranialAtherosclerosisRegional Blood FlowCircle of WillisAorta, ThoracicCerebral RevascularizationTemporal ArteriesIntracranial Embolism and ThrombosisAmaurosis FugaxEmbolization, TherapeuticEndothelium, VascularLigationJugular VeinsUltrasonography, DopplerCarotid Body TumorPredictive Value of TestsMesenteric Artery, SuperiorConstriction, PathologicSplenic ArteryVasodilationCeliac ArteryBlood Vessel ProsthesisCavernous SinusRetinal Artery OcclusionHepatic ArteryFibromuscular Dysplasia
Vertebral arteryOcclusionStenosisMiddle cerebrBilateralExternal carotiEndovascularIschemic strokeStrokeVagus nerveAcutePatients with spontaneousNeckCerebralAnteriorExtracranialProximalBifurcationAortic dissectionSuperior cerebeCervical artery disEtiologyFibromuscularAnticoagulationTraumaticSpontaneous dissectionDistalIntracranial arteryICADUncommonConnective tissue disordersCommon carotidSternocleidomastoidClinicalJugularVesselTortuous arteriesUnderwentInfarctsAtherosclerotic diseaseIncidenceAngioplastyCoronary arteriesSymptomsDividesEmbolicHemorrhageAngiographicDiagnosisEndarterectomyCavernous
Vertebral artery12
Occlusion21
  • Arterial dissection is characterized by an intimal tear that results in an intramural hematoma and subsequent splitting of vessel wall layers, causing stenosis or occlusion and potentially aneurysmal dilatation of the vessel. (medscape.com)
  • If a thrombus is found in both the true and the false lumens, the dissection is defined as an occlusion dissection. (medscape.com)
  • Management of acute symptomatic internal carotid artery (ICA) occlusion remains controversial. (ajnr.org)
  • Compared with studies regarding the effect of middle cerebral artery (MCA) occlusion, 1 there have only been a few studies regarding the efficacy of revascularization in patients with symptomatic acute internal carotid artery (ICA) occlusion. (ajnr.org)
  • The prognosis for patients with acute progressive stroke caused by carotid occlusion is known to be poor, with only 2%-12% good recovery. (ajnr.org)
  • 16 In addition, the management of patients with acute symptomatic carotid artery occlusion remains controversial, though the angiographic finding of ICA occlusion reveals a spectrum of ICA occlusions, as well as a tandem lesion in the intracranial artery in addition to the level (below or above the ophthalmic artery) and type (atherosclerotic or embolic) of lesion. (ajnr.org)
  • Cerebral angiogram of a left internal carotid dissection showing gradual vessel tapering to occlusion. (medscape.com)
  • We report two cases of spectacular clinical recovery after acute carotid occlusion. (hindawi.com)
  • We report two cases where an anti-gravity suit (also named MAST: Medical Antishock Trousers [ 1 , 2 ]) was applied with a low gradient of pressure during the acute phase of symptomatic carotid occlusion to amplify the blood volume shift towards the craniothoracic territory [ 3 , 4 ], improving cerebral haemodynamic conditions and neurological symptoms. (hindawi.com)
  • The MR Angiography (MRA) showed a proximal left internal carotid artery (ICA) occlusion, a tight stenosis on the distal right ICA, no signal in the right siphon and right MCA, while there was a weak signal in the left MCA (Figure 4 ). (hindawi.com)
  • Two classical surgical approaches for intraluminal filament middle cerebral artery occlusion (MCAO), the Longa et al. (mdpi.com)
  • Fibromuscular dysplasia (FMD) is a noninflammatory, nonatherosclerotic arterial disease of the medium-sized arteries throughout the body, which could lead to arterial stenosis, occlusion, aneurysm, and dissection. (medscape.com)
  • Interstitial hemorrhage into the media of the vessel wall can lead to occlusion of the internal carotid artery and aneurysm formation. (bvsalud.org)
  • In patients with an acute stroke and an intracranial large vessel occlusion, we need to know if there is carotid pathology and if so what kind of pathology we are dealing with. (radiologyassistant.nl)
  • An isolated internal carotid artery is an unfavourable configuration of the circle of Willis which can lead to severe ischemia in case of a ICA occlusion. (radiologyassistant.nl)
  • In a high-grade atherosclerotic stenosis the flow through the internal carotid is severely decreased and results in a collapse and consequently a small caliber of the vessel distal to the occlusion. (radiologyassistant.nl)
  • This simulates an occlusion of the lower cervical part of the internal carotid, but is actually the result of a stop at the carotid T-top. (radiologyassistant.nl)
  • We report a case of an 81-year-old Central European man who presented with a dissection-related occlusion of the left carotid artery. (biomedcentral.com)
  • Alberta Stroke Program Early CT score 10) and an occlusion of the left cervical carotid artery, but no intracranial large vessel occlusion on CT-angiography (images not shown). (biomedcentral.com)
  • Due to the sudden onset of symptoms and the severity of the symptoms, the occlusion of the left internal carotid artery was classified as acute, and the patient was transferred to our comprehensive stroke center for endovascular treatment. (biomedcentral.com)
  • Ipsilateral internal or common carotid artery occlusion. (mayo.edu)
Stenosis9
  • The stenosis that occurs in the early stages of arterial dissection is a dynamic process and some occlusions can return to stenosis very quickly. (wikipedia.org)
  • A, Tear and elevation of the intima from the wall of the artery, resulting in luminal stenosis. (medscape.com)
  • First-line management is comprised of antiplatelet or anticoagulation therapy, but many traumatic dissections progress despite this and carry the risk of long-term complications from embolism or stenosis [3] . (ejcrim.com)
  • Merckel LG, Van der Heijden J, Jongen LM, van Es HW, Prokop M, Waaijer A. Effect of stenting on cerebral CT perfusion in symptomatic and asymptomatic patients with carotid artery stenosis. (ejcrim.com)
  • Is transcranial Doppler ultrasound undervalued for detection of intracranial internal carotid artery stenosis? (uchicago.edu)
  • Congenital primary stenosis of the internal auditory canal (IAC) may exist in isolation or along with a number of other osseous anomalies of the temporal bone. (nyu.edu)
  • Carotid revascularization for primary prevention of stroke (CREST-2) is two independent multicenter, randomized controlled trials of carotid revascularization and intensive medical management versus medical management alone in patients with asymptomatic high-grade carotid stenosis. (mayo.edu)
  • Non-atherosclerotic carotid stenosis (dissection, fibromuscular dysplasia, or stenosis following radiation therapy). (mayo.edu)
  • but more likely to have carotid stenosis, a history of prior coronary artery bypass grafting, and a higher estimated glomerular filtration rate. (medscape.com)
Middle cerebr3
  • A 28-year-old woman was seen 2 hours after the sudden onset of total right brachial monoplegia, right facial palsy, and mutism (NIH Stroke Scale: 17) due to a left middle cerebral artery (MCA) infarct. (hindawi.com)
  • MRI of the brain demonstrated multiple embolic infarcts in the left middle cerebral artery (MCA) territory, despite therapeutic anticoagulation with heparin. (bmj.com)
  • C) Postdeployment of a 3.5×23.0 mm LVIS Jr. stent (dotted line) placed from the left M1 middle cerebral artery up to the dural junction of the left ICA (green arrow). (bmj.com)
Bilateral7
  • We report a case of traumatic bilateral carotid dissection leading to progressive neurological symptoms and hypoperfusion on computed tomography perfusion (CTP), despite escalation in anticoagulation, which led to emergency carotid stenting. (ejcrim.com)
  • Induruwa I, Bentham C, Khadjooi K, Sharma N. Computed Tomography Perfusion Can Guide Endovascular Therapy in Bilateral Carotid Artery Dissection. (ejcrim.com)
  • T1-FAT-SAT-weighted images showed bilateral ICA dissection (Figure 5 ). (hindawi.com)
  • Doppler study showed a high resistance to flow in both common carotid arteries and low bilateral MCA flow with low systolic and diastolic velocities. (hindawi.com)
  • Bilateral abnormal origin of the anterior branches of the external carotid artery. (nih.gov)
  • Bilateral internal carotid artery dissection (ICAD) has been rarely reported 1, 4 . (kauveryhospital.com)
  • Bilateral severe carotid artery steno-occlusive disease: when is simultaneous treatment of both carotid arteries justified? (uchicago.edu)
External caroti4
  • A separation (dissection) of the layers of the external carotid artery wall. (nih.gov)
  • External Carotid Artery-Related Adverse Events at Extra-Intra Cranial High Flow Bypass Surgery Using a Radial Artery Graft. (nih.gov)
  • Pseudoaneurysm of the external carotid artery--review of literature. (nih.gov)
  • Dissection is continued upward to isolate the external carotid artery (ECA). (medscape.com)
Endovascular7
  • Recognizing a dissection early is essential, because prompt anticoagulant and/or antiplatelet therapy and endovascular repair greatly minimize the patient's risk of infarction, neurologic disability, and death. (medscape.com)
  • Endovascular stent-assisted angioplasty in the management of traumatic internal carotid artery dissections. (ejcrim.com)
  • Xianjun H, Zhiming Z. A systematic review of endovascular management of internal carotid artery dissections. (ejcrim.com)
  • Considering the potential risk of subsequent hemorrhagic complications by recanalization of the dissected perforator, prudent postoperative management, including strict blood pressure control, is advisable following endovascular revascularization therapy against intracranial artery dissection involving perforators. (surgicalneurologyint.com)
  • Endovascular revascularization therapy has been reported to effectively counteract intracranial ICA dissection manifesting as ischemic stroke. (surgicalneurologyint.com)
  • Here, we report a case of intracranial ICA dissection with ischemic onset, with a complication of remote parenchymal hemorrhage due to a recanalized dissected perforator following endovascular therapy. (surgicalneurologyint.com)
  • Confirmation of the findings through the use of carotid angiography is recommended before endovascular or surgical interventions are considered. (medscape.com)
Ischemic stroke8
  • Cervical artery dissection is a major cause of ischemic stroke in young adults, but the diagnosis can be difficult to make because patients may present with benign symptoms such as headache, neck pain, or dizziness. (medscape.com)
  • The dissection presented as ischemic stroke in 175 patients and with local symptoms in the others. (annaly-nevrologii.com)
  • Kalashnikova L.A., Dobrynina L.A. Dissektsiya arteriy golovnogo mozga: ishemicheskiy insul't i drugie klinicheskie proyavleniya [Cervical artery dissection: ischemic stroke and other clinical manifestations]. (annaly-nevrologii.com)
  • Intracranial internal carotid artery (ICA) dissection manifesting as ischemic stroke is rare. (surgicalneurologyint.com)
  • Internal carotid artery dissection (CAD) presents a rare, but serious condition that needs to be fully evaluated and carefully treated, as it may lead to an acute ischemic stroke in all, but mostly in younger patients. (springermedizin.at)
  • In this case report we present a case of a young patient with carotid artery type of ESy, resulting in a severe acute ischemic stroke. (springermedizin.at)
  • A carotid web is an entity that is increasingly recognized as an important cause for ischemic stroke in especially young females. (radiologyassistant.nl)
  • The carotid web is increasingly being associated with ischemic stroke in young individuals, especially females. (radiologyassistant.nl)
Stroke12
  • Carotid artery dissection is a separation of the layers of the artery wall supplying oxygen-bearing blood to the head and brain and is the most common cause of stroke in young adults. (wikipedia.org)
  • Once considered uncommon, spontaneous carotid artery dissection is an increasingly recognized cause of stroke that preferentially affects the middle-aged. (wikipedia.org)
  • Observational studies and case reports published since the early 1980s show that patients with spontaneous internal carotid artery dissection may also have a history of stroke in their family and/or hereditary connective tissue disorders, such as Marfan syndrome, Ehlers-Danlos syndrome, autosomal dominant polycystic kidney disease, pseudoxanthoma elasticum, fibromuscular dysplasia, and osteogenesis imperfecta type I. IgG4-related disease involving the carotid artery has also been observed as a cause. (wikipedia.org)
  • However, when blood clots form and break off from the site of the tear, they form emboli, which can travel through the arteries to the brain and block the blood supply to the brain, resulting in an ischaemic stroke, otherwise known as a cerebral infarction. (wikipedia.org)
  • Blood clots, or emboli, originating from the dissection are thought to be the cause of infarction in the majority of cases of stroke in the presence of carotid artery dissection. (wikipedia.org)
  • Carotid artery dissection (CAD) is a major cause of stroke in those under age 45, accounting for around 20% of ischaemic events [1,2] . (ejcrim.com)
  • Predictors of delayed stroke in patients with cervical artery dissection. (ejcrim.com)
  • Thrombolysis in cervical artery dissection--data from the Cervical Artery Dissection and Ischaemic Stroke Patients (CADISP) database. (medscape.com)
  • The author of the post on SBM questions the Stroke paper's treatment of a key study, Cassidy et al (2008) published in Spine, that is often used to support the notion that the correlation between cervical manipulation and cervical arterial dissection is NOT causal - suggesting that cervical manipulation is safe. (noigroup.com)
  • Carotid artery dissection (CAD) is a frequent cause of stroke, accounting for upto 25% of all ischemic strokes in young and middle-aged patients 1, 2 . (kauveryhospital.com)
  • It is with heavy hearts that we confirm the passing today of Katie May - mother, daughter, sister, friend, businesswoman, model and social media star - after suffering a catastrophic stroke caused by a blocked carotid artery on Monday," the statement reads. (scienceblogs.com)
  • Determinants of neurologic deterioration and stroke-free survival after spontaneous cervicocranial dissections: a multicenter study. (uchicago.edu)
Vagus nerve3
  • Vagus nerve relating to Common carotid artery & Internal jugular vein. (anatomytrains.com)
  • Dissection is continued anterior to the CCA to keep from injuring the vagus nerve. (medscape.com)
  • The vagus nerve usually lies in a posterior lateral position within the carotid sheath but occasionally may spiral anteriorly, particularly in the lower end of the incision. (medscape.com)
Acute3
  • We report a case of a 38-year-old woman who presented with acute ischemic infarcts in the territory of the left anterior choroidal artery (AChA) due to intracranial ICA dissection. (surgicalneurologyint.com)
  • This report is of a 37-year-old woman presenting at 39 weeks of pregnancy with acute thoracic aortic dissection due to previously undiagnosed FBN1-related Marfan syndrome. (bvsalud.org)
  • This case report aims to illustrate the challenges in the diagnosis and in the peri-operative management of acute aortic dissection during pregnancy. (bvsalud.org)
Patients with spontaneous1
  • This manuscript reviews the management of patients with spontaneous dissection of the cervical internal carotid artery (sICAD). (qxmd.com)
Neck15
  • Dissection may occur after physical trauma to the neck, such as a blunt injury (e.g. traffic collision), strangulation, but can also happen spontaneously. (wikipedia.org)
  • Carotid artery dissection is thought to be more commonly caused by severe violent trauma to the head and/or neck. (wikipedia.org)
  • The probable mechanism of injury for most internal carotid injuries is rapid deceleration, with resultant hyperextension and rotation of the neck, which stretches the internal carotid artery over the upper cervical vertebrae, producing an intimal tear. (wikipedia.org)
  • Artery dissection has also been reported in association with some forms of neck manipulation. (wikipedia.org)
  • Radical neck dissection is an operation that was created in 1906 to solve the problem of metastatic neck disease. (medscape.com)
  • Classic radical neck dissection is still the criterion standard for surgical control of a neck metastasis. (medscape.com)
  • The necessity to maximize control and to minimize morbidity prompted modifications to the classic neck dissection. (medscape.com)
  • Therefore, these findings led to another neck dissection modification, which is the selective preservation of 1 or several LN groups. (medscape.com)
  • In 1906, Crile was the first person to describe radical neck dissection, which encompasses the surgical removal of neck metastases contained between superficial and deep fascial layers of the neck. (medscape.com)
  • In the 1950s, Martin routinely used radical neck dissection for the management of neck metastasis. (medscape.com)
  • In 1991, the American Academy of Otolaryngology-Head and Neck Surgery (AAOHNS) published an official report that standardized the terminology for different types of neck dissection. (medscape.com)
  • She underwent surgery, and resection of the tumor with neck dissection was performed, which was reported as malignant carotid body paraganglioma on histopathology. (cytojournal.com)
  • Carotid Artery Involvement in Advanced Recurrent Head and Neck Cancer: A Case Report and Literature Review. (nih.gov)
  • [ 2 ] Disease manifestations depend on the arterial bed involved: most often, the extracranial carotid or vertebral arteries are associated with headache (generally migraine-type), pulsatile tinnitus , neck pain, or dizziness, whereas the renal arteries are often associated with hypertension. (medscape.com)
  • The internal carotid artery provides no branches in the neck. (neurosurgicalatlas.com)
Cerebral6
  • Pure arterial malformations affected the anterior cerebral arteries in 25% of cases, the posterior communicating artery (PcomA) segment in 33.3% of cases, the MCA in 16.6% of cases, and posterior circulation arteries in 25% of cases. (ajnr.org)
  • Like Jia et al, we found that lesions affecting the PcomA segment of the ICA went on to affect the PcomA and posterior cerebral artery (PCA). (ajnr.org)
  • Lesions involving the distal anterior cerebral arteries (ACAs) are characterized as ectatic and moderately tortuous and have a looser coil configuration. (ajnr.org)
  • However, some tortuous vessels are associated with significant carotid atherosclerotic disease requiring a specific surgical a … The tortuous internal carotid artery as the basis of cerebral vascular insufficiency is a controversial entity, as such lesions frequently occur without neurologic symptoms. (onteenstoday.com)
  • 4 ] Intracranial ICA dissection typically presents as severe headache, immediately followed by neurological symptoms of cerebral ischemia or subarachnoid hemorrhage. (surgicalneurologyint.com)
  • The arteries supplying the head (carotid arteries), the arteries supplying the brain (cerebral arteries), and the arteries supplying the heart muscle (coronary arteries) may also develop aneurysms. (msdmanuals.com)
Anterior7
  • When combined with an anterior clinoidectomy, it allowed for significant and safe internal carotid artery mobilization. (thieme-connect.de)
  • The main goal of this procedure was to remove, en bloc, all ipsilateral lymphatic structures from the mandible superiorly to the clavicle inferiorly and from the strap muscles to the anterior border of the trapezius. (medscape.com)
  • 4 ] Dissection in the anterior circulation is less common than in the posterior circulation in adults, and mainly occur in the supraclinoid internal carotid artery (ICA). (surgicalneurologyint.com)
  • The external carotid quickly gives rise to the superior thyroid from its anterior border, which descends on the inferior pharyngeal constrictor muscle enroute to the thyroid gland. (neurosurgicalatlas.com)
  • A cervical incision is made parallel and anterior to the sternocleidomastoid and centered over the carotid bifurcation. (medscape.com)
  • The internal jugular vein is visualized, and the carotid sheath is opened along the anterior border of the vein. (medscape.com)
  • The glossopharyngeal nerve crosses the ICA near the base of the skull and is best protected by maintaining dissection close to the anterior surface of the ICA. (medscape.com)
Extracranial1
  • The disease typically affects the renal and extracranial carotid arteries, but it has also been noted in most medium-sized arteries throughout the body, most commonly the mesenteric, external iliac, and brachial arteries. (medscape.com)
Proximal6
  • This angiogram shows a small pseudoaneurysm and a small intimal dissection with an elevated intimal flap that is just proximal to the subadventitial dissection. (medscape.com)
  • In the case of a ICA dissection the bulbus is not involved and the contrast in the proximal ICA has a flame-shaped configuration. (radiologyassistant.nl)
  • This is a thin shelf-like luminal protrusion of the intimal fibrous tissue that extends from the posterior aspect of the proximal internal carotid artery bulb into the lumen. (radiologyassistant.nl)
  • This incision can be extended proximally to the sternal notch for more proximal lesions of the common carotid artery (CCA) and distally to the mastoid process for higher exposure. (medscape.com)
  • The CCA is mobilized proximal to the carotid lesion. (medscape.com)
  • Once proximal control is obtained, dissection is continued distally around the ECA and its first branch, the superior thyroid artery. (medscape.com)
Bifurcation4
  • CECT revealed, in addition, a lobulated, ill-marginated enhancing space-occupying mass in the right carotid bifurcation. (cytojournal.com)
  • It was in close proximity to right common carotid artery beginning at the level of carotid bifurcation. (cytojournal.com)
  • Superior to the bifurcation of the common carotid can be seen the carotid sinus nerve, a sensory branch of the glossopharyngeal nerve. (neurosurgicalatlas.com)
  • If sinus bradycardia develops, 1-2 mL of 1% lidocaine is injected into the tissues of the carotid bifurcation to correct reflex sympathetic bradycardia. (medscape.com)
Aortic dissection3
  • BACKGROUND Inherited deficiencies in the FBN1 gene, which encodes fibrillin-1, result in Marfan syndrome, an autosomal dominant connective tissue disorder that is associated with aortic root dilatation and predisposes to aortic dissection. (bvsalud.org)
  • I'm assuming then what you're describing is annular rupture, pericardial effusion, and aortic dissection. (medscape.com)
  • See also Overview of Aortic Aneurysms and Aortic Dissection. (msdmanuals.com)
Superior cerebe1
  • Previously reported lesions of the superior cerebellar artery and posterior inferior cerebellar artery also bear a remarkably similar resemblance to our cases in that the vessels have the appearance of a tightly wound coil without substantial ectasia or any associated aneurysm. (ajnr.org)
Cervical artery dis5
  • Treatment of cervical artery dissection: a systematic review and meta-analysis. (ejcrim.com)
  • Antiplatelets versus anticoagulation in cervical artery dissection. (ejcrim.com)
  • Antiplatelet treatment compared with anticoagulation treatment for cervical artery dissection (CADISS): a randomised trial. (medscape.com)
  • Kim YK, Schulman S. Cervical artery dissection: pathology, epidemiology and management. (medscape.com)
  • The genetics of cervical artery dissection: a systematic review. (medscape.com)
Etiology3
  • The exact mechanisms and etiology of spontaneous carotid artery dissection (sCAD) are unknown, but evidence supports both environmental exposures and ultrastructural abnormalities of collagen as contributing factors. (neurology.org)
  • These cases form the basis for reading about etiology, pathology, complications and treatment of problems in internal medicine. (xusom.com)
  • Fibromuscular dysplasia (FMD) is an arterial disease of unknown etiology typically affecting the medium and large arteries of young to middle-aged women. (medscape.com)
Fibromuscular1
Anticoagulation2
  • Antiplatelets vs anticoagulation for dissection: CADISS nonrandomized arm and meta-analysis. (ejcrim.com)
  • Georgiadis D, Arnold M, von Buedingen HC, Valko P, Sarikaya H, Rousson V. Aspirin vs anticoagulation in carotid artery dissection: a study of 298 patients. (medscape.com)
Traumatic3
  • In general, such dissections can be categorized as traumatic or spontaneous. (medscape.com)
  • Traumatic dissection is the result of either external mechanical injury, such as a penetrating or blunt trauma, or trivial trauma that is related to a movement or abrupt change in head position. (medscape.com)
  • In the absence of known connective tissue disorders, most dissections are traumatic [2] . (ejcrim.com)
Spontaneous dissection3
  • Management of spontaneous dissection of the cervical carotid artery. (qxmd.com)
  • A recent review of spontaneous dissection of the internal carotid artery producing cranial nerve palsies at our institution identified nine patients. (elsevierpure.com)
  • Hinni, ML & Zimmerman, RS 1998, ' Spontaneous dissection of the carotid artery presenting with lower cranial nerve palsies ', Skull Base Surgery , vol. 8, no. (elsevierpure.com)
Distal1
  • Mobilization of the hypoglossal nerve may require division of the tethering artery and vein to the sternocleidomastoid, the descending hypoglossal branch of the ansa cervicalis, or the occipital artery in order to expose the distal ICA. (medscape.com)
Intracranial artery1
ICAD1
Uncommon1
Connective tissue disorders1
  • However, although an association with connective tissue disorders does exist, most people with spontaneous arterial dissections do not have associated connective tissue disorders. (wikipedia.org)
Common carotid2
Sternocleidomastoid1
  • One such modification is the preservation of 1 or more nonlymphatic structures (eg, spinal accessory nerve, internal jugular vein [IJV], sternocleidomastoid [SCM] muscle). (medscape.com)
Clinical4
  • However, carotid and vertebral dissections are still underrecognized despite their distinct clinical and radiologic manifestations. (medscape.com)
  • Clinical and radiographic natural history of cervical artery dissections. (medscape.com)
  • Clinical observations have linked tortuous arteries and veins with aging, atherosclerosis, hypertension, genetic defects and diabetes mellitus. (onteenstoday.com)
  • Open-Label Phase I Clinical Study to Assess the Safety and Efficacy of Cilostazol in Patients Undergoing Internal Carotid Artery Stent Placement. (uchicago.edu)
Jugular2
  • The left lobe of the thyroid gland has been removed, most of the carotid sheath has been cut away and the internal jugular vein has been retracted laterally. (stanford.edu)
  • The internal jugular vein is retracted laterally, and the common facial vein is ligated. (medscape.com)
Vessel4
  • Dissection is a blister-like de-lamination between the outer and inner walls of a blood vessel, generally originating with a partial leak in the inner lining. (wikipedia.org)
  • The splitting of the vessel wall in one or both (left and right) internal carotid arteries (CAROTID ARTERY, INTERNAL). (bvsalud.org)
  • The internal carotid artery (ICA) is mobilized up to a point where the vessel is completely normal. (medscape.com)
  • This nerve divides into external and internal branches that pass posterior to the superior thyroid artery and may be harmed while the surgeon is attempting to control either this vessel or the ICA. (medscape.com)
Tortuous arteries3
  • The arterial lesions in the series of Jia et al 1 have been previously described as "pure arterial malformations," defined as dilated, overlapping, and tortuous arteries forming a mass of arterial loops with a coil-like appearance in the absence of any arteriovenous connection. (ajnr.org)
  • Are tortuous arteries normal? (onteenstoday.com)
  • Tortuous arteries and veins are commonly observed in humans and animals. (onteenstoday.com)
Underwent1
  • The purpose of this study was to clarify the criteria for initial treatment of chronic subdural hematoma (CSDH) by com-paring the backgrounds and post-treatment courses of patients who underwent drainage or middle meningeal artery (MMA) emboliza-tion for CSDH. (go.jp)
Infarcts1
  • In one study of patients with carotid artery dissection, 60% had infarcts documented on neuroimaging. (wikipedia.org)
Atherosclerotic disease1
  • Peripheral artery disease (PAD) is an atherosclerotic disease that has emerged as a major health problem. (kauveryhospital.com)
Incidence1
  • The incidence of spontaneous carotid artery dissection is low, and incidence rates for internal carotid artery dissection have been reported to be 2.6 to 2.9 per 100,000. (wikipedia.org)
Angioplasty1
  • Cutting balloon angioplasty for carotid in-stent restenosis: case reports and review of the literature. (uchicago.edu)
Coronary arteries1
Symptoms2
  • Internal carotid artery dissection can also be associated with an elongated styloid process (known as Eagle syndrome when the elongated styloid process causes symptoms). (wikipedia.org)
  • There were no strokes in 110 patients with local symptoms due to ICA/VA dissection during the observation period. (annaly-nevrologii.com)
Divides1
Embolic1
  • One trial will randomize patients in a 1:1 ratio to endarterectomy versus no endarterectomy and another will randomize patients in a 1:1 ratio to carotid stenting with embolic protection versus no stenting. (mayo.edu)
Hemorrhage2
  • Dissection is usually accompanied by hemorrhage into the arterial wall, which creates, as demonstrated in the first image below, a blind pouch or (uncommonly) a parallel subintimal second channel. (medscape.com)
  • B, Subadventitial dissection represents hemorrhage between the media and the adventitia. (medscape.com)
Angiographic2
  • The second image demonstrates the angiographic characteristics of a chronic subadventitial dissection of the right internal carotid artery. (medscape.com)
  • In one of the largest angiographic studies conducted by Weibel and Fields [1], internal carotid artery tortuosity and angulation, respectively, were observed in 35 and 5% of 1,438 consecutive patients. (onteenstoday.com)
Diagnosis3
  • Yamaura A. Nontraumatic Intracranial Arterial Dissection: Natural History, Diagnosis, and Treatment. (medscape.com)
  • Craniocervical artery dissection: diagnosis and follow-up with MR imaging and MR angiography. (nih.gov)
  • Diagnosis and management of zone III carotid injuries. (nih.gov)
Endarterectomy3
Cavernous1
  • Collateral filling of the intradural (antegrade filling) or cavernous (retrograde filling) segment of the ICA through the ophthalmic artery was considered to have collaterals via the ophthalmic artery ( Fig 2 ). (ajnr.org)