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Updated: Nov 28, 2025
Author Spotlight: Assessing Ischemic Stroke Damage Through Middle Cerebral Artery Occlusion Model
Published on: August 11, 2023
Cervical artery dissection-an easily neglected cause of stroke: a case report
Ya -Hui Lian1, Xin Chen1, De- Rui Kong1
1Department of Radiology, The First Hospital of Jilin University, Xinmin St. #71, Changchun, 130021, Jilin, China.
Insights
Cervical artery dissection is a significant cause of stroke in young adults. Prompt diagnosis and treatment, including antiplatelet therapy, can improve outcomes for ischemic stroke patients.
Area of Science:
- Neurology
- Vascular Medicine
Background:
- Stroke incidence is rising in young populations.
- Cervical artery dissection is a leading cause of stroke in younger individuals.
- This case highlights distal vascular occlusion from internal carotid artery dissection.
Observation:
- A 33-year-old male presented with stroke symptoms.
- Imaging revealed right middle cerebral artery non-visualization and internal carotid artery thrombus.
- Emergency surgery achieved vascular recanalization, improving symptoms.
Findings:
- Magnetic resonance imaging showed a high signal in the right internal carotid artery.
- This abnormal signal resolved after initiating antiplatelet therapy.
- The stroke was attributed to a detached thrombus from internal carotid artery dissection.
Implications:
- Emphasizes the importance of considering cervical artery dissection in young stroke patients.
- Highlights the need for thorough etiological investigation in stroke cases.
- Improved understanding can reduce misdiagnosis and enhance patient prognosis.
Background:
In recent years, the incidence of stroke has gradually increased in young people. There are many reasons causing stroke, including atherosclerosis, artery embolization, and cervical artery dissection and so on. However, cervical artery dissection is a major cause of stroke in young people. We present a case of ischemic stroke caused by dissection, whose distal vascular occlusion due to detachment of the thrombosis in the right internal carotid artery.
Case Presentation:
A 33-year-old male patient was admitted to the hospital because of stroke. Imaging examination showed that there was no visualization of the right middle cerebral artery and there were a large number of mural thrombus in the C1 segment of the right internal carotid artery. After emergency surgery, the patient had vascular recanalization and the symptoms were significantly improved. Magnetic resonance imaging showed a high signal in the C1 segment of the right internal carotid artery, the abnormal signal disappeared after antiplatelet therapy.
Conclusions:
When a patient has symptoms of stroke, we need to explore the root cause of stroke. Especially in young people, cervical artery dissection is an important reason that can't be ignored. Through review and analysis of this case, we hope to improve the understanding of radiologists and clinicians about the cervical artery dissection, reduce the rate of misdiagnosis, and improve patients' prognosis.
