Cervical carotid artery dissection: Current review of diagnosis and treatment

Raj Ramabhai Patel, Richard Adam, Catherine Maldjian, Christie M. Lincoln, Annie Yuen, Amrita Arneja

Research output: Contribution to journalReview articlepeer-review

71 Scopus citations

Abstract

Carotid artery dissection is a cause of stroke, especially in young and middle-aged patients. A dissection occurs when there is an intimal tear or rupture of the vasa vasorum, leading to an intramural hematoma, which is thought to result from trauma or can occur spontaneously, and is likely multifactorial, involving environmental and intrinsic factors. The clinical diagnosis of carotid artery dissection can be challenging, with common presentations including pain, partial Horner syndrome, cranial nerve palsies, or cerebral ischemia. With the use of noninvasive imaging, including magnetic resonance and computed tomography angiography, the diagnosis of carotid dissection has increased in frequency. Treatment options include thrombolysis, antiplatelet or anticoagulation therapy, endovascular or surgical interventions. The choice of appropriate therapy remains controversial as most carotid dissections heal on their own and there are no randomized trials to compare treatment options.

Original languageEnglish (US)
Pages (from-to)145-152
Number of pages8
JournalCardiology in review
Volume20
Issue number3
DOIs
StatePublished - May 2012
Externally publishedYes

Keywords

  • cervical carotid artery dissection
  • computed tomography angiography
  • magnetic resonance angiography
  • partial Horner syndrome
  • stroke

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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