Echefu Gift, Mahat Rameela, Vatsavai Raju, Zuckerman Steven
Baton Rouge General Medical Centre, Internal Medicine Residency, Baton Rouge, LA, USA.
Hospital Medicine Group, Baton Rouge General Medical Center, Baton Rouge, LA, USA.
Case Rep Vasc Med. 2022 Apr 11;2022:8156047. doi: 10.1155/2022/8156047. eCollection 2022.
In young adults, spontaneous craniocervical arterial dissections (sCAD), which involve the major arteries of the head and neck, are associated with an increased risk of stroke. sCAD occurs in the absence of major trauma as seen in traumatic craniocervical artery dissection. It may affect unilateral or bilateral carotid or vertebral arteries. Cases of spontaneous bilateral carotid and vertebral artery dissections occurring simultaneously are extremely rare. We present a case of a 49-year-old female with no history of arteriopathy who presented with aphasia and right upper extremity weakness and was found to have dissections in bilateral extracranial and intracranial carotid arteries, as well as the bilateral vertebral arteries. She had symptomatic improvement with antithrombotic therapy and aggressive outpatient rehabilitation.
在年轻成年人中，自发性颅颈动脉夹层（sCAD）累及头颈部主要动脉，与中风风险增加相关。sCAD在无创伤性颅颈动脉夹层所见的重大创伤情况下发生。它可能影响单侧或双侧颈动脉或椎动脉。双侧颈动脉和椎动脉同时发生自发性夹层的病例极为罕见。我们报告一例49岁女性病例，该女性无动脉病病史，表现为失语和右上肢无力，经检查发现双侧颅外和颅内颈动脉以及双侧椎动脉均有夹层。经过抗血栓治疗和积极的门诊康复治疗，她的症状有所改善。
