Spontaneous and simultanous dissection of the carotid and vertebral artery



Cervical-artery dissection, the major cause of cerebral ischemia in young adults, is a dynamic process: morphological and clinical findings may change within days or hours.

Cervical-arteries dissections are associated with hematoma in the wall of the artery. The intramural hematoma can expand towards the intima (resulting in a stenosis of the artery), or the adventitia (resulting in an aneurysmal dilatation of the artery).

It is possible that the spontaneous dissection of the internal carotid artery (ICA) and vertebral artery (VA) occurs simultaneously: in a review of 200 patients with spontaneous extracranial artery dissection, ICA and VA were simultaneously affected in 6% of cases.

In this lesson, the case of a young adult with a spontaneous and simultaneous dissection of the ICA and VA will be presented: in particular the importance of the echo-color Doppler in acute phase and in the follow-up will be shown.



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