Karadaş Omer, Ipekdal Ilker Hüseyin, Meteoğlu Ali, Gül Levent Hakan
Erzincan Asker Hastanesi, Erzincan, Türkiye.
Kulak Burun Bogaz Ihtis Derg. 2011 Jul-Aug;21(4):237-40. doi: 10.5606/kbbihtisas.2011.034.
Carotid artery dissection, one of the most common causes of stroke in patients younger than 40 years of age, may develop spontaneously or after trauma. In 85% of cases, central neurological signs such as stroke, transient ischemic attack and amarozis fugax are seen, while headache and cranial nerve paralysis can be the presenting symptoms in the rest of cases. In this case report, a 35-year of age young male patient who had a progressive carotid artery dissection accompanied by complaints of left sided tinnitus and ipsilateral head and neck pain. The patient was admitted to the clinic with the diagnosis of carotid artery dissection and cerebral angiography (CA) was planned. During the CA performed the day after, three stents were placed in the dissection area. Improvement was observed in all complaints of the patient who was followed up in the clinic for 10 days. The patient was discharged in a healthy condition to return after three months for a control.
颈动脉夹层是40岁以下患者中风的最常见原因之一，可自发发生或在创伤后出现。在85%的病例中，会出现中风、短暂性脑缺血发作和一过性黑矇等中枢神经系统症状，而其余病例的首发症状可能是头痛和颅神经麻痹。在本病例报告中，一名35岁的年轻男性患者患有进行性颈动脉夹层，并伴有左侧耳鸣及同侧头颈部疼痛。该患者因颈动脉夹层诊断入院，并计划进行脑血管造影（CA）。在术后第二天进行的脑血管造影过程中，在夹层区域放置了三个支架。在诊所随访10天期间，患者的所有症状均有改善。患者健康出院，三个月后回来复查。
