Nazli Janjua1, Adnan I Qureshi, Jawad Kirmani, Patrick Pullicino. 1. Zeen at Qureshi Stroke Research Center, Clinical Trails Division, Department of Neurology and Neurosciences, New Jersey Medical School, University of Medicine and Dentistry of New Jersey, Newark, NJ 07103, USA. janjuana@umdnj.edu
Abstract
INTRODUCTION: Carotid dissection is a less common but important cause of acute ischemic stroke, which has specific treatment implications. CASE RECORD: We describe the case of a patient with acute, fluctuating neurological symptoms found to be caused by carotid dissection who underwent endovascular stent-supported angioplasty of this lesion with good outcome. DISCUSSION: Pros and cons of the various treatment options encountered in this case including intravenous thrombolysis, angioplasty and stenting, and antithrombotic therapy are discussed. CONCLUSION: Endovascular treatment of carotid dissection in acute stroke can be performed safely. Treatment must ultimately be individualized to each specific case.
INTRODUCTION: Carotid dissection is a less common but important cause of acute ischemic stroke, which has specific treatment implications. CASE RECORD: We describe the case of a patient with acute, fluctuating neurological symptoms found to be caused by carotid dissection who underwent endovascular stent-supported angioplasty of this lesion with good outcome. DISCUSSION: Pros and cons of the various treatment options encountered in this case including intravenous thrombolysis, angioplasty and stenting, and antithrombotic therapy are discussed. CONCLUSION: Endovascular treatment of carotid dissection in acute stroke can be performed safely. Treatment must ultimately be individualized to each specific case.
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