Manzo-Suárez MF, Rodríguez-Pérez RD, Coránguez-Capistrán RB, Rodríguez-Palomares LA, Mercado-Cruz E

Language: Spanish
References: 9
Page: 22-28
PDF size: 243.70 Kb.

ABSTRACT

Introduction: Carotid dissection consists of a tear in the vessel wall. It is a rare pathology, but it is the most common cause of ischemic cerebral vascular disease (CVD) in people under 45 years of age. The clinical manifestations are very variable.
Method: We used CARE recommendations for reporting clinical cases.
Clinical case: Previously, a healthy 45-year-old man with acute weakness of the right thoracic extremity without apparent cause. The simple skull tomography did not show any alterations. MRI showed complete occlusion of the internal carotid artery in all its segments and decreased flow of the left middle cerebral artery. The clinical evolution was unfavorable.
Conclusion: Carotid dissection should be suspected in people with CVD without cardiovascular risk factors.

REFERENCES

1. Keser Z, Meschia JF, Lanzino G. Craniocervical ArteryDissections: A Concise Review for Clinicians. Mayo ClinProc [Internet]. 2022;97(4):777-83. Disponible en: https://doi.org/10.1016/j.mayocp.2022.02.007

2. Henares García P. Disección espontánea de la arteria carótidainterna: Un reto diagnóstico. Semergen. 2011;37(4):219-21.

3. Riley DS, Barber MS, Kienle GS, Aronson JK, Schoen-Angerer T, Tugwell P, et al. CARE guidelines for case reports:explanation and elaboration document. J Clin Epi.2017 Sep;89:218-235.

4. De Jesús Nunes KF, Manzanera Martínez RM. Ictus isquémicotras dirección espontánea de arteria carotídea. RevFam y atención primaria. 2022;27(1).

5. Thomas LC, Rivett DA, Attia JR, Levi C. Risk factors andclinical presentation of cervical arterial dissection: Preliminaryresults of a prospective case-control study. J OrthopSports Phys Ther. 2015;45(7):503-11.

6. Villarreal García E, Medina Romero JR, Díaz Juárez E.Disección de arteria carótida interna secundario a accidenteen motocicleta. Rev Chil Neurocir. 2021;46(2):88-91.

7. Zavaleta-antunes R. Disección Carotídea Espontánea Manifestadapor Afasia. Rev Med Clínica. 2022;06(02).

8. Powers WJ, Rabinstein AA, Ackerson T, Adeoye OM,Bambakidis NC, Becker K, et al. Guidelines for the EarlyManagement of Patients with Acute Ischemic Stroke: 2019Update to the 2018 Guidelines for the Early Managementof Acute Ischemic Stroke. A Guideline for Healthcare ProfessionalsFrom the American Heart Association/AmericanStroke Association. Stroke. 2019;50:e344-e418.

9. Engelter ST, Rutgers MP, Hatz F, Georgiadis D, Fluri F, SekoranjaL, et al. Intravenous thrombolysis in stroke attributableto cervical artery dissection. Stroke. 2009;40(12):3772-6.