Diagnosis and progress of carotid artery dissecting aneurysm

Deutsche medizinische Wochenschrift
W SteinkeM Hennerici

Abstract

33 patients with angiographically confirmed dissection of the internal carotid artery (ICA) were followed prospectively. Cardinal symptoms were: 1) focal disturbances of the cerebral circulation (n = 28); 2) unilateral headache or neck pain (n = 20); 3) incomplete Horner's syndrome (n = 9). Neurological deficits without pain or sympathetic nerve damage developed in 11 patients. All patients had abnormal Doppler ultrasound findings over the ICA; in 22 there were markedly reduced flow velocities and retrograde flow components ("to- and- fro" phenomenon), typical of carotid artery dissection. During a mean observation time of 6.9 +/- 5.7 months serial Doppler ultrasound and angiographic examinations demonstrated recanalization in 73% after an average of 56 days. Angiographically different types (long segments in 13; pseudo-occlusions in 7; pseudoaneurysms in 5; and distal stenoses in 6; others in 2) are interpreted as expressions of different stages in the development of dissection up to complete recanalization.

Citations

Feb 1, 1992·Journal of Neurology, Neurosurgery, and Psychiatry·W MüllgesM Leibold
Nov 1, 1993·Journal of Neurology, Neurosurgery, and Psychiatry·M Sturzenegger, P Huber
Jan 1, 1990·Neuroradiology·W SteinkeM Hennerici
Apr 1, 1996·Journal of Neurology·W SteinkeM Hennerici
May 11, 2000·Journal of Vascular Surgery·B T MüllerW Sandmann
Jul 1, 1992·Stroke; a Journal of Cerebral Circulation·D LindenM Hennerici
May 1, 1994·Stroke; a Journal of Cerebral Circulation·W SteinkeM Hennerici

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