Hoffmeister A W, Neumann M, Fritz C
Gefässchirurgische Klinik, Akademisches Lehrkrankenhaus, Universität Heidelberg.
Fortschr Med. 1992 Jul 20;110(20):371-3.
A typical case history of spontaneous dissection of the internal carotid artery is presented. In young patients with cerebral ischemia, initial pain in the affected side of the head and neck, a possible provocative mechanism and a transient or even persistent Horner's syndrome are highly suggestive. The angiographic picture of carotid artery dissection is characteristic. Spontaneous resolution is common, and recurrence rare. Surgical treatment can therefore be reserved for individual cases with recurrent ischemia and caused by emboli originating in the dissected segment of the artery.
本文介绍了一例典型的颈内动脉自发性夹层的病例。对于患有脑缺血的年轻患者，头部和颈部患侧的初始疼痛、可能的诱发机制以及短暂甚至持续的霍纳综合征具有高度提示性。颈动脉夹层的血管造影表现具有特征性。自发缓解很常见，复发很少见。因此，手术治疗可保留用于个别复发性缺血且由动脉夹层段产生的栓子引起的病例。
