[Dissection of the internal carotid artery with subarachnoid hemorrhage].

Abstract:

INTRODUCTION:Dissection of the intracranial arteries is uncommon, forming less than 10% of all cranio-cervical dissections. Apart from the classical clinical findings of extracranial dissections, intracranial dissection may cause subarachnoid haemorrhage (SAH), mainly dissections involving the posterior circulation. CLINICAL CASE:We describe the case of a 49 year old man, a smoker, who had a sudden onset of headache followed by loss of consciousness. On CT there was SAH and multiple cerebral infarcts. Arteriography showed findings compatible with dissection of the extracranial and intracranial carotid arteries. DISCUSSION:We discuss the epidemiology and mechanisms of SAH associated with intracranial dissections. Intracranial dissection. Intracranial dissection should be considered in the differential diagnosis of SAH and of ischaemic syndromes.

journal_name

Rev Neurol

journal_title

Revista de neurologia

authors

Martín-Bermúdez R,Arenas-Cabrera C,Gil-Néciga E,Jarrín S

subject

Has Abstract

pub_date

1997-06-01 00:00:00

pages

882-3

issue

142

eissn

0210-0010

issn

1576-6578

journal_volume

25

pub_type

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