Khimenko L P, Esham H R, Ahmed W
Department of Medicine, University of South Alabama, Mobile 36617-2293, USA.
South Med J. 2000 Oct;93(10):1011-6.
Once considered uncommon, spontaneous dissection of the carotid artery is an increasingly recognized cause of stroke, headache, cranial nerve palsy, or ophthalmologic events, especially in young adults. Even in the presence of existing signs and symptoms, the diagnosis can be missed by experienced physicians of all specialties. We report a case of spontaneous internal carotid artery dissection in a 38-year-old woman with a cortical stroke and visual disturbances as initial symptoms. The diagnosis was confirmed by magnetic resonance imaging/angiography and by angiography. Prompt anticoagulation was instituted, and the patient had complete resolution of symptoms. Cervicocephalic arterial dissection should be included in the differential diagnosis of the causes of cerebrovascular events.
颈内动脉自发性夹层曾被认为不常见，如今它已日益被公认为是导致中风、头痛、颅神经麻痹或眼科疾病的原因，尤其在年轻人中。即便存在现有的体征和症状，各专业的经验丰富的医生仍可能漏诊。我们报告一例38岁女性自发性颈内动脉夹层病例，最初症状为皮质性中风和视觉障碍。磁共振成像/血管造影及血管造影确诊了该病例。迅速实施抗凝治疗后，患者症状完全缓解。在对脑血管事件的病因进行鉴别诊断时，应考虑到颈脑动脉夹层。
