Schwarz M, Eisenberg D
Dept. of Neurology, B'nai Zion Medical Center, Haifa.
Harefuah. 1991 Dec 15;121(12):506-8.
Spontaneous dissection of the internal carotid artery is a frequent cause of acute ischemic cerebrovascular accidents in young patients. The diagnosis is usually based on arteriographic findings. We report a 31-year-old man with spontaneous dissection of the internal carotid artery in the neck, and compare the findings on arteriography with those on contrast enhanced, dynamic computed tomography (DCT) of the cervical and intracranial portion of the carotid system DCT may play an important role in the diagnosis of dissection of the carotid artery, and in its follow-up, as an alternative to arteriography.
颈内动脉自发性夹层是年轻患者急性缺血性脑血管意外的常见原因。诊断通常基于血管造影结果。我们报告了一名31岁颈部颈内动脉自发性夹层的男性患者,并将血管造影结果与颈动脉系统颈部和颅内部分的对比增强动态计算机断层扫描(DCT)结果进行比较。DCT作为血管造影的替代方法,在颈动脉夹层的诊断及其随访中可能发挥重要作用。