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Stroke due to recurrent ipsilateral carotid artery dissection in a young adult.

Publication ,  Journal Article
Goldstein, LB; Gray, L; Hulette, CM
Published in: Stroke
March 1995

BACKGROUND: Extracranial carotid artery dissection is a well-recognized cause of ischemic stroke. Recurrent carotid artery dissections are infrequent. Recurrent ipsilateral dissection has only rarely been documented and has not been pathologically verified. CASE DESCRIPTION: A 33-year-old woman presented with a left parieto-occipital ischemic stroke. Angiography demonstrated a pseudoaneurysm of the extracranial left internal carotid artery. There was no angiographic evidence of an underlying vasculopathy. The pseudoaneurysm was resected, and microscopic examination revealed features most consistent with fibromuscular dysplasia with areas of both chronic and recent dissection. CONCLUSIONS: This case suggests that the frequency of fibromuscular dysplasia as a cause for "idiopathic" spontaneous carotid artery dissection may be higher than previously recognized and that recurrent embolization may occur in the setting of chronic dissection due to redissection of the previously involved vessel.

Duke Scholars

Published In

Stroke

DOI

ISSN

0039-2499

Publication Date

March 1995

Volume

26

Issue

3

Start / End Page

480 / 483

Location

United States

Related Subject Headings

  • Recurrence
  • Neurology & Neurosurgery
  • Humans
  • Fibromuscular Dysplasia
  • Female
  • Cerebrovascular Disorders
  • Carotid Artery, Internal
  • Carotid Artery Diseases
  • Brain Ischemia
  • Aortic Dissection
 

Citation

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ICMJE
MLA
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Goldstein, L. B., Gray, L., & Hulette, C. M. (1995). Stroke due to recurrent ipsilateral carotid artery dissection in a young adult. Stroke, 26(3), 480–483. https://doi.org/10.1161/01.str.26.3.480
Goldstein, L. B., L. Gray, and C. M. Hulette. “Stroke due to recurrent ipsilateral carotid artery dissection in a young adult.Stroke 26, no. 3 (March 1995): 480–83. https://doi.org/10.1161/01.str.26.3.480.
Goldstein LB, Gray L, Hulette CM. Stroke due to recurrent ipsilateral carotid artery dissection in a young adult. Stroke. 1995 Mar;26(3):480–3.
Goldstein, L. B., et al. “Stroke due to recurrent ipsilateral carotid artery dissection in a young adult.Stroke, vol. 26, no. 3, Mar. 1995, pp. 480–83. Pubmed, doi:10.1161/01.str.26.3.480.
Goldstein LB, Gray L, Hulette CM. Stroke due to recurrent ipsilateral carotid artery dissection in a young adult. Stroke. 1995 Mar;26(3):480–483.

Published In

Stroke

DOI

ISSN

0039-2499

Publication Date

March 1995

Volume

26

Issue

3

Start / End Page

480 / 483

Location

United States

Related Subject Headings

  • Recurrence
  • Neurology & Neurosurgery
  • Humans
  • Fibromuscular Dysplasia
  • Female
  • Cerebrovascular Disorders
  • Carotid Artery, Internal
  • Carotid Artery Diseases
  • Brain Ischemia
  • Aortic Dissection