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Spontaneous Dissection of the Internal Carotid Artery

Spontaneous Dissection of the Internal Carotid Artery Abstract To the Editor. —Spontaneous dissection of the internal carotid artery is becoming the subject of more and more clinical reports.1 As yet, there appears to be no consensus concerning the prognosis of these lesions or the most appropriate course of management (eg, medical, surgical, nonintervention).2 In his recent article in the Archives, Bogousslavsky and coworkers3 have painted a rather gloomy clinical picture in association with these lesions, but, based on the material presented in their article, several questions arise. We are told that all cases included in this report suffered occlusions of the cervical internal carotid artery as determined by angiography. This criterion for inclusion is somewhat surprising given the general view that carotid occlusion is found in a minority of patients suffering spontaneous dissection of the internal carotid artery.4 Also surprising is the high figure cited for distal embolic intracranial branch occlusion (seven of 19 References 1. Fisher CM, Ojemann RG, Robersen GH: Spontaneous dissection of cervico-cerebral arteries . Can J Neurol Sci 1978;5:9-19. 2. Hart RG, Easton JD: Dissecting of cortical and cerebral arteries . Neurol Clin 1983;1:155-182. 3. Bogousslavsky J, Despland P-A, Regli F: Spontaneous carotid dissection with acute stroke . Arch Neurol 1987;44:137-140.Crossref 4. Mokri B, Sundt TM Jr, Houser OW: Spontaneous dissection of cervical internal carotid artery . Ann Neurol 1986;19:126-138.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology American Medical Association

Spontaneous Dissection of the Internal Carotid Artery

Archives of Neurology , Volume 45 (2) – Feb 1, 1988

Spontaneous Dissection of the Internal Carotid Artery

Abstract

Abstract To the Editor. —Spontaneous dissection of the internal carotid artery is becoming the subject of more and more clinical reports.1 As yet, there appears to be no consensus concerning the prognosis of these lesions or the most appropriate course of management (eg, medical, surgical, nonintervention).2 In his recent article in the Archives, Bogousslavsky and coworkers3 have painted a rather gloomy clinical picture in association with these lesions, but, based on the material...
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References (4)

Publisher
American Medical Association
Copyright
Copyright © 1988 American Medical Association. All Rights Reserved.
ISSN
0003-9942
eISSN
1538-3687
DOI
10.1001/archneur.1988.00520260024006
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor. —Spontaneous dissection of the internal carotid artery is becoming the subject of more and more clinical reports.1 As yet, there appears to be no consensus concerning the prognosis of these lesions or the most appropriate course of management (eg, medical, surgical, nonintervention).2 In his recent article in the Archives, Bogousslavsky and coworkers3 have painted a rather gloomy clinical picture in association with these lesions, but, based on the material presented in their article, several questions arise. We are told that all cases included in this report suffered occlusions of the cervical internal carotid artery as determined by angiography. This criterion for inclusion is somewhat surprising given the general view that carotid occlusion is found in a minority of patients suffering spontaneous dissection of the internal carotid artery.4 Also surprising is the high figure cited for distal embolic intracranial branch occlusion (seven of 19 References 1. Fisher CM, Ojemann RG, Robersen GH: Spontaneous dissection of cervico-cerebral arteries . Can J Neurol Sci 1978;5:9-19. 2. Hart RG, Easton JD: Dissecting of cortical and cerebral arteries . Neurol Clin 1983;1:155-182. 3. Bogousslavsky J, Despland P-A, Regli F: Spontaneous carotid dissection with acute stroke . Arch Neurol 1987;44:137-140.Crossref 4. Mokri B, Sundt TM Jr, Houser OW: Spontaneous dissection of cervical internal carotid artery . Ann Neurol 1986;19:126-138.Crossref

Journal

Archives of NeurologyAmerican Medical Association

Published: Feb 1, 1988

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