Carotid artery dissection

Dissection is most often caused by splitting of the vessel wall in the tunica media, a false lumen can create an aneurysm, or it can thrombose. Thrombus causes stenosis and can also distal embolize, causing CMP.

Dissection most often affects young and middle-aged people, clinically we find unilateral headaches, neck and orbit pain, Horner's syndrome and event. cerebral nerve palsy or hemispheric symptoms. Some patients hear pulsating murmurs or have tinnitus. This is a serious condition with a high risk of death or permanent consequences!


 * Ultrasonography,
 * angiography,
 * MRI-angiography,
 * a wall hematoma is displayed on a classic MRI.

Therapy
Thrombolysis, anticoagulation, angioplasty, stents.

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 * Headaches