Duverger V, Szymszyczin P, Singland J D, Clément R, Vergos M
Service de Chirurgie Vasculaire, Hôpital d'Instruction des Armées Bégin, 69, avenue de Paris, Saint-Mandé.
J Mal Vasc. 2000 Oct;25(4):276-9.
Spontaneous carotid artery dissection is one of the main causes of stroke in young adults. We report two cases occurring after non-traumatic hyperextension of the head. Most of these events result from minor head trauma. Some family history cases would suggest the possibility of an underlying artery wall disorder. The favorable natural history of carotid dissection emphasizes the need for a noninvasive approach for diagnosis. Delayed diagnosis may lead to poor prognosis. Ultrasonography and magnetic resonance angiography are adequate for diagnosis.
自发性颈动脉夹层是年轻成年人中风的主要原因之一。我们报告了两例头部非创伤性过度伸展后发生的病例。这些事件大多由轻微头部创伤引起。一些有家族病史的病例提示可能存在潜在的动脉壁疾病。颈动脉夹层良好的自然病程强调了采用非侵入性方法进行诊断的必要性。延迟诊断可能导致预后不良。超声检查和磁共振血管造影足以进行诊断。
