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Stent-supported angioplasty for acute stroke caused by carotid dissection

  • Cases With Tough Decisions
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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.

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Authors and Affiliations

  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, 90 Bergen Street, DOC 8100, 07103, Newark, NJ

    Nazli Janjua, Adnan I. Qureshi & Jawad Kirmani

  2. Kent Institute of Medicine and Health Sciences, Research and Development Center, Kent University, CT2 7 NZ, Centerbury, Kent, UK

    Patrick Pullicino

Authors
  1. Nazli Janjua
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  2. Adnan I. Qureshi
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  3. Jawad Kirmani
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  4. Patrick Pullicino
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Corresponding author

Correspondence to Nazli Janjua.

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Janjua, N., Qureshi, A.I., Kirmani, J. et al. Stent-supported angioplasty for acute stroke caused by carotid dissection. Neurocrit Care 4, 47–53 (2006). https://doi.org/10.1385/NCC:4:1:047

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