Solbakken Tore, Moen Gunnar, Tysnes Ole-Bjørn
Nevrologisk avdeling, Haukeland Sykehus 5021 Bergen.
Tidsskr Nor Laegeforen. 2002 Oct 10;122(24):2355-7.
In recent years, new radiographic diagnostics have increased our knowledge about dissection of the carotid and vertebral arteries as a cause of stroke, probably an underdiagnosed condition. Carotid dissection is now considered one of the most frequent aetiologies of ischaemic stroke in patients less than 50 years of age and it accounts for 20% of all cases under the age of 30.
In this paper we describe clinical course and investigations in four patients who had dissection of the precerebral arteries.
Three patients had carotid artery dissection, one vertebral artery dissection. Three patients had ischaemic symptoms. One patient had symptoms following physiotherapy to the neck.
Patients with craniocervical arterial dissection should be investigated with ultrasound techniques and MRI or CT; antiplatelet agents or anticoagulation therapy should be considered.
近年来，新的放射诊断技术增加了我们对颈动脉和椎动脉夹层作为中风病因的认识，这可能是一种诊断不足的疾病。颈动脉夹层现在被认为是50岁以下缺血性中风最常见的病因之一，在30岁以下的所有病例中占20%。
在本文中，我们描述了4例脑前动脉夹层患者的临床病程和检查情况。
3例为颈动脉夹层，1例为椎动脉夹层。3例有缺血症状。1例在颈部理疗后出现症状。
颅颈动脉夹层患者应采用超声技术以及MRI或CT进行检查；应考虑使用抗血小板药物或抗凝治疗。
