Skip to main content

Some NLM-NCBI services and products are experiencing heavy traffic, which may affect performance and availability. We apologize for the inconvenience and appreciate your patience. For assistance, please contact our Help Desk at info@ncbi.nlm.nih.gov.

Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1990 May;53(5):379–383. doi: 10.1136/jnnp.53.5.379

Dissection of the cervical internal carotid artery. The role of Doppler/Duplex studies and conservative management.

M S Eljamel 1, P R Humphrey 1, M D Shaw 1
PMCID: PMC488052  PMID: 2351965

Abstract

Cervical internal carotid dissection is not rare. Doppler ultrasound screening of young patients presenting with stroke, identified 10 patients with reduced common and internal carotid blood flow without any evidence of atheroma. Eight, on angiography proved to have a dissection of the cervical internal carotid artery. All were managed conservatively. Seven received anticoagulant therapy, stopping any further neurological symptoms.

Full text

PDF
379

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bogousslavsky J., Despland P. A., Regli F. Spontaneous carotid dissection with acute stroke. Arch Neurol. 1987 Feb;44(2):137–140. doi: 10.1001/archneur.1987.00520140009010. [DOI] [PubMed] [Google Scholar]
  2. Bogousslavsky J., Regli F. Ischemic stroke in adults younger than 30 years of age. Cause and prognosis. Arch Neurol. 1987 May;44(5):479–482. doi: 10.1001/archneur.1987.00520170009012. [DOI] [PubMed] [Google Scholar]
  3. Boström K., Liliequist B. Primary dissecting aneurysm of the extracranial part of the internal carotid and vertebral arteries. A report of three cases. Neurology. 1967 Feb;17(2):179–186. doi: 10.1212/wnl.17.2.179. [DOI] [PubMed] [Google Scholar]
  4. Bradac G. B., Kaernbach A., Bolk-Weischedel D., Finck G. A. Spontaneous dissecting aneurysm of cervical cerebral arteries. Report of six cases and review of the literature. Neuroradiology. 1981;21(3):149–154. doi: 10.1007/BF00339524. [DOI] [PubMed] [Google Scholar]
  5. Brown O. L., Armitage J. L. Spontaneous dissecting aneurysms of the cervical internal carotid artery. Two case reports and a survey of the literature. Am J Roentgenol Radium Ther Nucl Med. 1973 Jul;118(3):648–653. doi: 10.2214/ajr.118.3.648. [DOI] [PubMed] [Google Scholar]
  6. Chapleau C. E., Robertson J. T. Spontaneous cervical carotid artery dissection: outpatient treatment with continuous heparin infusion using a totally implantable infusion device. Neurosurgery. 1981 Jan;8(1):83–87. doi: 10.1227/00006123-198101000-00015. [DOI] [PubMed] [Google Scholar]
  7. Deramond H., Remond A., Rosat P., Froissart M., Dobbelaere P., Trinez G. Spontaneous evolution of non traumatic dissecting aneurysms of the cervical portion of the internal carotid artery. Radiological aspects. J Neuroradiol. 1980;7(3):167–182. [PubMed] [Google Scholar]
  8. Ehrenfeld W. K., Wylie E. J. Spontaneous dissection of the internal carotid artery. Arch Surg. 1976 Nov;111(11):1294–1301. doi: 10.1001/archsurg.1976.01360290128019. [DOI] [PubMed] [Google Scholar]
  9. Fisher C. M., Ojemann R. G., Roberson G. H. Spontaneous dissection of cervico-cerebral arteries. Can J Neurol Sci. 1978 Feb;5(1):9–19. [PubMed] [Google Scholar]
  10. Fisher C. M. The headache and pain of spontaneous carotid dissection. Headache. 1982 Mar;22(2):60–65. doi: 10.1111/j.1526-4610.1982.hed2202060.x. [DOI] [PubMed] [Google Scholar]
  11. Friedman W. A., Day A. L., Quisling R. G., Sypert G. W., Rhoton A. L., Jr Cervical carotid dissecting aneurysms. Neurosurgery. 1980 Sep;7(3):207–214. doi: 10.1227/00006123-198009000-00001. [DOI] [PubMed] [Google Scholar]
  12. Gee W., Kaupp H. A., McDonald K. M., Lin F. Z., Curry J. L. Spontaneous dissection of internal carotid arteries. Spontaneous resolution documented by serial ocular pneumoplethysmography and angiography. Arch Surg. 1980 Aug;115(8):944–949. doi: 10.1001/archsurg.1980.01380080038008. [DOI] [PubMed] [Google Scholar]
  13. Gillum R. F. Stroke in blacks. Stroke. 1988 Jan;19(1):1–9. doi: 10.1161/01.str.19.1.1. [DOI] [PubMed] [Google Scholar]
  14. Gulliford M. C., Hawkins C. P., Murphy R. P. Spontaneous dissection of the carotid artery and phaeochromocytoma. Br J Hosp Med. 1986 Jun;35(6):416–416. [PubMed] [Google Scholar]
  15. Hodge C. J., Jr, Lee S. H. Spontaneous dissecting cervical carotid artery aneurysm. Neurosurgery. 1982 Jan;10(1):93–95. [PubMed] [Google Scholar]
  16. Houser O. W., Mokri B., Sundt T. M., Jr, Baker H. L., Jr, Reese D. F. Spontaneous cervical cephalic arterial dissection and its residuum: angiographic spectrum. AJNR Am J Neuroradiol. 1984 Jan-Feb;5(1):27–34. [PMC free article] [PubMed] [Google Scholar]
  17. JENTZER A. Dissecting aneurysm of the left internal carotid artery. Angiology. 1954 Jun;5(3):232–234. doi: 10.1177/000331975400500306. [DOI] [PubMed] [Google Scholar]
  18. Leow K., Murie J. A. Cerebral angiography for cerebrovascular disease: the risks. Br J Surg. 1988 May;75(5):428–430. doi: 10.1002/bjs.1800750511. [DOI] [PubMed] [Google Scholar]
  19. Luken M. G., 3rd, Ascherl G. F., Jr, Correll J. W., Hilal S. K. Spontaneous dissecting aneurysms of the extracranial internal carotid artery. Clin Neurosurg. 1979;26:353–375. doi: 10.1093/neurosurgery/26.cn_suppl_1.353. [DOI] [PubMed] [Google Scholar]
  20. McNeill D. H., Jr, Dreisbach J., Marsden R. J. Spontaneous dissection of the internal carotid artery. Its conservative management with heparin sodium. Arch Neurol. 1980 Jan;37(1):54–55. doi: 10.1001/archneur.1980.00500500084015. [DOI] [PubMed] [Google Scholar]
  21. Mokri B., Sundt T. M., Jr, Houser O. W., Piepgras D. G. Spontaneous dissection of the cervical internal carotid artery. Ann Neurol. 1986 Feb;19(2):126–138. doi: 10.1002/ana.410190204. [DOI] [PubMed] [Google Scholar]
  22. Momose K. J., New P. F. Non-atheromatous stenosis and occlusion of the internal carotid artery and its main branches. Am J Roentgenol Radium Ther Nucl Med. 1973 Jul;118(3):550–566. doi: 10.2214/ajr.118.3.550. [DOI] [PubMed] [Google Scholar]
  23. O'Dwyer J. A., Moscow N., Trevor R., Ehrenfeld W. K., Newton T. H. Spontaneous dissection of the carotid artery. Radiology. 1980 Nov;137(2):379–385. doi: 10.1148/radiology.137.2.7433672. [DOI] [PubMed] [Google Scholar]
  24. Stringer W. L., Kelly D. L., Jr Traumatic dissection of the extracranial internal carotid artery. Neurosurgery. 1980 Feb;6(2):123–130. doi: 10.1227/00006123-198002000-00002. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Neurology, Neurosurgery, and Psychiatry are provided here courtesy of BMJ Publishing Group

RESOURCES