Clinical manifestations of internal carotid artery dissection

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Abstract

Dissection is the blood entrance from the lumen to vascular wall through the intimal tear. Dissections more often occur in internal carotid artery (ICA). The blood accumulating within the wall (intramural hematoma) may lead to: 1) the compression of the arterial lumen resulting in cerebral ischemia; 2) perivascular nerve damage causing headache, neck pain and Horner syndrome; 3) block of the ostiums of the arteries arising from ICA and supplying cranial nerves with consequent ischemia of these nerves. In this paper we present medical histories of three our patients (out of 88) with ICA dissection and different clinical manifestations. The questions of diagnosis, differential diagnosis and treatment of the ICA dissection are discussed.

About the authors

Ludmila A. Kalashnikova

Research Center of Neurology

Email: kalashnikovancn@yandex.ru
Russian Federation, Moscow

Larisa A. Dobrynina

Research Center of Neurology

Author for correspondence.
Email: kalashnikovancn@yandex.ru
ORCID iD: 0000-0001-9929-2725

D. Sci. (Med.), Head, 3rd Neurological department

Russian Federation, Moscow

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Copyright (c) 2014 Kalashnikova L.A., Dobrinina L.A.

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