Otolaryngology Department, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.
Dysphagia. 2010 Dec;25(4):338-40. doi: 10.1007/s00455-010-9273-5. Epub 2010 Feb 27.
Dissection of the carotid artery can occur intracranially or extracranially, although dissections tend to affect extracranial segments of the arteries much more commonly than intracranial segments. Carotid artery dissection (CAD) is most common in middle-aged women. Although not completely known, the main risk factors related to carotid artery dissection are genetic and environmental factors, traumatic events, cervical manipulation, migraine, recent infections, hyperhomocysteinemia, and hereditary connective tissue disorders. Although some cases of bilateral internal CAD have been reported, spontaneous bilateral dissections are rare. Prolonged hoarseness is usually due to using the voice either too much, too loudly, or improperly over an extended period of time. Disorders leading to dysphagia may affect the oral, pharyngeal, or esophageal phases of swallowing. In this study we report on a patient with bilateral CAD who presented to our clinic with dysphagia and hoarseness.
颈动脉夹层可发生于颅内或颅外，尽管夹层更常影响颅外段动脉而非颅内段动脉。颈动脉夹层（CAD）最常见于中年女性。尽管不完全清楚，但与颈动脉夹层相关的主要危险因素是遗传和环境因素、创伤事件、颈部操作、偏头痛、近期感染、高同型半胱氨酸血症和遗传性结缔组织疾病。尽管已经报道了一些双侧颈内动脉 CAD 的病例，但自发性双侧夹层非常罕见。长时间声音嘶哑通常是由于长时间过度、大声或不当使用声音所致。导致吞咽困难的疾病可能影响吞咽的口腔、咽或食管阶段。在本研究中，我们报告了 1 例双侧 CAD 患者，该患者因吞咽困难和声音嘶哑就诊于我院。
