Stringer W L, Kelly D L
Neurosurgery. 1980 Feb;6(2):123-30. doi: 10.1227/00006123-198002000-00002.
Six cases of traumatic dissection of the extracranial carotid artery that were all treated conservatively are reported. The initial trauma was believed to be an intimal tear caused by severe stretching of the artery over the process of a cervical vertebra due to sudden hyperextension and lateral flexion of the neck to the opposite side. No clinical evidence of neck trauma was present, but one patient had roentgenographic evidence of cervical spine fracture. Four-vessel angiography was diagnostic in all six patients and was useful during follow-up in the four in whom it was done.
报告了6例颅外颈动脉创伤性夹层，均采用保守治疗。最初的创伤被认为是由于颈部突然过度伸展并向对侧侧屈，导致动脉在颈椎过程中严重拉伸而引起的内膜撕裂。没有颈部创伤的临床证据，但有1例患者有颈椎骨折的X线证据。四血管造影对所有6例患者均具有诊断价值，并且对其中4例进行随访时也很有用。
