Traumatic bilateral carotid dissection with concomitant cerebral infarction

Sean J. Pittock, Joan T. Moroney, Michael Alexander, Paul Brennan, David Moorhouse

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

A 40-year-old man presented with a major nondominant hemisphere stroke syndrome after a road traffic accident. Cranial computed tomography scan revealed an extensive right hemisphere infarction involving the entire anterior and middle cerebral artery territories. Duplex Doppler ultrasound and cerebral angiography revealed bilateral internal carotid artery dissection with evidence of underlying fibromuscular dysplasia. Anticoagulation with heparin was commenced despite the coexisting large cerebral infarction, with the objective of protecting the uninjured but at-risk left cerebral hemisphere from ischemic injury. Patients with multiple cerebral arterial dissections complicated by cerebral infarction present a significant management dilemma. Our literature review revealed a lack of clear management guidelines for such cases.

Original languageEnglish (US)
Pages (from-to)33-38
Number of pages6
JournalJournal of Emergency Medicine
Volume20
Issue number1
DOIs
StatePublished - Feb 13 2001

Keywords

  • Carotid dissection
  • Cerebral infarction
  • Drug therapy
  • Fibromuscular dysplasia
  • Trauma

ASJC Scopus subject areas

  • Emergency Medicine

Fingerprint Dive into the research topics of 'Traumatic bilateral carotid dissection with concomitant cerebral infarction'. Together they form a unique fingerprint.

  • Cite this