Cervical Artery Dissection and Choosing Appropriate Therapy

Clinical Practice and Cases in Emergency Medicine
Jonathan T LauAndrea L Austin

Abstract

Cervical artery dissection is a common cause of stroke in young adults. This may result from head and neck trauma; it can also occur spontaneously or secondary to genetic connective tissue or vascular disorders. Neurologic symptoms arise as a result of thromboembolism and hypoperfusion causing cerebral ischemia. We present a case of a previously healthy male who was found to have a cervical internal carotid artery dissection and the decision to use antiplatelet therapy instead of anticoagulation to prevent stroke. Data is lacking regarding the efficacy of one therapy over the other.

Citations

May 20, 2020·Clinical Practice and Cases in Emergency Medicine·Robert LookRyan Misek

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