Carotid Artery Dissection Differential Diagnoses

  • Author: David Zohrabian, MD, FAAEM, FACEP; Chief Editor: David FM Brown, MD   more...
 
Updated: May 10, 2012
 
 
 
Contributor Information and Disclosures
Author

David Zohrabian, MD, FAAEM, FACEP  Emergency Physician, Emergent Medical Associates, Valley Presbyterian Hospital

David Zohrabian, MD, FAAEM, FACEP is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, Emergency Medicine Residents Association, and Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Chief Editor

David FM Brown, MD  Associate Professor, Division of Emergency Medicine, Harvard Medical School; Vice Chair, Department of Emergency Medicine, Massachusetts General Hospital

David FM Brown, MD is a member of the following medical societies: American College of Emergency Physicians and Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Additional Contributors

A Antoine Kazzi MD, Deputy Chief of Staff, American University of Beirut Medical Center; Associate Professor, Department of Emergency Medicine, American University of Beirut, Lebanon

A Antoine Kazzi is a member of the following medical societies: American Academy of Emergency Medicine

Disclosure: Nothing to disclose.

Joseph J Sachter, MD, FACEP Consulting Staff, Department of Emergency Medicine, Muhlenberg Regional Medical Center

Joseph J Sachter, MD, FACEP is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, American College of Physician Executives, American Medical Association, and Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

References
  1. Schievink WI. Spontaneous dissection of the carotid and vertebral arteries. N Engl J Med. Mar 22 2001;344(12):898-906. [Medline].

  2. Redekop GJ. Extracranial carotid and vertebral artery dissection: a review. Can J Neurol Sci. May 2008;35(2):146-52. [Medline].

  3. Goyal MS, Derdeyn CP. The diagnosis and management of supraaortic arterial dissections. Curr Opin Neurol. Feb 2009;22(1):80-9. [Medline].

  4. Cothren CC, Moore EE, Biffl WL, Ciesla DJ, Ray CE Jr, Johnson JL. Anticoagulation is the gold standard therapy for blunt carotid injuries to reduce stroke rate. Arch Surg. May 2004;139(5):540-5; discussion 545-6. [Medline].

  5. Debette S, Leys D. Cervical-artery dissections: predisposing factors, diagnosis, and outcome. Lancet Neurol. Jul 2009;8(7):668-78. [Medline].

  6. Baker WE, Wassermann J. Unsuspected vascular trauma: blunt arterial injuries. Emerg Med Clin North Am. Nov 2004;22(4):1081-98. [Medline].

  7. Baumgartner RW. Management of spontaneous dissection of the cervical carotid artery. Acta Neurochir Suppl. 2010;107:57-61. [Medline].

  8. Arthurs ZM, Starnes BW. Blunt carotid and vertebral artery injuries. Injury. Nov 2008;39(11):1232-41. [Medline].

  9. Tobin J, Flitman S. Cluster-like headaches associated with internal carotid artery dissection responsive to verapamil. Headache. Mar 2008;48(3):461-6.

  10. Divjak I, Slankamenac P, Jovicevic M, Zikic TR, Prokin AL, Jovanovic A. A case series of 22 patients with internal carotid artery dissection. Med Pregl. Nov-Dec 2011;64(11-12):575-8. [Medline].

  11. Patel RR, Adam R, Maldjian C, Lincoln CM, Yuen A, Arneja A. Cervical Carotid Artery Dissection: Current Review of Diagnosis and Treatment. Cardiol Rev. Feb 1 2012;[Medline].

  12. Stallmeyer MJ, Morales RE, Flanders AE. Imaging of traumatic neurovascular injury. Radiol Clin North Am. Jan 2006;44(1):13-39, vii. [Medline].

  13. Caplan LR. Dissections of brain-supplying arteries. Nat Clin Pract Neurol. Jan 2008;4(1):34-42. [Medline].

  14. Flis CM, Jager HR, Sidhu PS. Carotid and vertebral artery dissections: clinical aspects, imaging features and endovascular treatment. Eur Radiol. Mar 2007;17(3):820-34. [Medline].

  15. Kim YK, Schulman S. Cervical artery dissection: pathology, epidemiology and management. Thromb Res. Apr 2009;123(6):810-21. [Medline].

  16. Arnold M, Baumgartner RW, Stapf C, Nedeltchev K, Buffon F, Benninger D. Ultrasound diagnosis of spontaneous carotid dissection with isolated Horner syndrome. Stroke. Jan 2008;39(1):82-6. [Medline].

  17. Fava M, Meneses L, Loyola S, Tevah J, Bertoni H, Huete I. Carotid artery dissection: endovascular treatment. Report of 12 patients. Catheter Cardiovasc Interv. Apr 1 2008;71(5):694-700. [Medline].

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Arterial dissection. (A) Tear and elevation of intima from wall of artery, resulting in luminal stenosis. Illustration shows stasis of flow in false lumen beneath elevated intima. This condition creates blind pouch that predisposes patient to thrombus formation. (B) Subadventitial dissection represents hemorrhage between media and adventitia. Artery may become dilated as result of thickening of arterial wall, with some degree of luminal narrowing. Elevation of intimal flap is not commonly associated with this type of dissection. Hemorrhage may extravasate through adventitia, resulting in pseudoaneurysm or fistula formation.
 
 
 
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