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Revista de la Facultad de Medicina (México)
versión On-line ISSN 2448-4865versión impresa ISSN 0026-1742
Resumen
MANZO-SUAREZ, María Fernanda et al. Carotid Artery Dissection. Case Report and Literature Review. Rev. Fac. Med. (Méx.) [online]. 2023, vol.66, n.6, pp.22-28. Epub 01-Mar-2024. ISSN 2448-4865. https://doi.org/10.22201/fm.24484865e.2023.66.6.04.
Introduction:
Carotid dissection consists of a tear in the vessel wall. It is a rare pathology, but it is the most common cause of ischemic cerebral vascular disease (CVD) in people under 45 years of age. The clinical manifestations are very variable.
Method:
We used CARE recommendations for reporting clinical cases.
Clinical case:
Previously, a healthy 45-year-old man with acute weakness of the right thoracic extremity without apparent cause. The simple skull tomography did not show any alterations. MRI showed complete occlusion of the internal carotid artery in all its segments and decreased flow of the left middle cerebral artery. The clinical evolution was unfavorable.
Conclusion:
Carotid dissection should be suspected in people with CVD without cardiovascular risk factors.
Palabras llave : Carotid artery; spontaneous carotid dissection; acute ischemic stroke; emergency medicine; interventional radiology.