Current optimal assessment and management of carotid and vertebral spontaneous and traumatic dissection.
Angiology
; 65(4): 274-83, 2014 Apr.
Article
em En
| MEDLINE
| ID: mdl-23401625
ABSTRACT
Dissection of the internal carotid or vertebral artery has been recognized as a cause of stroke in young patients. It is disproportionate in its representation as a cause of stroke in this age group. Intimal tears, intramural hematomas, and dissection aneurysms may be the result of trauma or may occur spontaneously. Spontaneous dissection may be the result of inherent arterial weakness or in association with other predisposing factors. Clinical diagnosis is often difficult, but increased awareness and a range of modern investigations such as computerized tomography or magnetic resonance imaging may aid in diagnosis. Management options include antiplatelet therapy, anticoagulation, thrombolysis, and surgical or endovascular procedures. Prognosis is variable, and dissection may be asymptomatic but may lead to profound neurological deficit and death.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Terapia Trombolítica
/
Lesões das Artérias Carótidas
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Dissecação da Artéria Carótida Interna
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Dissecação da Artéria Vertebral
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Lesões do Sistema Vascular
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Procedimentos Endovasculares
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Fibrinolíticos
Tipo de estudo:
Diagnostic_studies
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Etiology_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Humans
Idioma:
En
Revista:
Angiology
Ano de publicação:
2014
Tipo de documento:
Article