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Cervical Artery Dissection and Choosing Appropriate Therapy
Jonathan T Lau1, John S Hunt1, David I Bruner2
1Naval Medical Center, Department of Emergency Medicine, San Diego, California.
Insights
Cervical artery dissection, a cause of stroke in young adults, can be treated with antiplatelet therapy. This case study explores its use over anticoagulation for preventing stroke in internal carotid artery dissection.
Area of Science:
- Neurology
- Vascular Medicine
- Cardiology
Background:
- Cervical artery dissection is a leading cause of stroke in young adults.
- It can stem from trauma, genetic disorders, or occur spontaneously.
- Neurologic symptoms result from thromboembolism and hypoperfusion leading to cerebral ischemia.
Abstract:
Cervical artery dissection is a common cause of stroke in young adults. This may result from head and neck trauma; it can also occur spontaneously or secondary to genetic connective tissue or vascular disorders. Neurologic symptoms arise as a result of thromboembolism and hypoperfusion causing cerebral ischemia. We present a case of a previously healthy male who was found to have a cervical internal carotid artery dissection and the decision to use antiplatelet therapy instead of anticoagulation to prevent stroke. Data is lacking regarding the efficacy of one therapy over the other.
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