Affiliation:
1. Mariinsky City Hospital
Abstract
The clinical observation of a successful treatment of a young patient with intima dissection of the internal carotid artery and thrombosis of the lumen of the internal carotid artery and the middle cerebral artery of traumatic genesis is presented. Injury of the internal carotid artery occurred with a large physical load of a rotational nature. Fracture of the styloid process caused a dissection of the internal carotid artery with its thrombosis on the extracranial level and the development of ischemic stroke in the basin of this artery. In an emergency order, a complex of diagnostics was performed-CT CT, CT angiography. The first stage was performed thrombextracion from the internal carotid artery and the middle cerebral artery by the X-ray endovascular method. To fix the intima in the internal carotid artery in the area of her injury we stented her. Complete revascularization was achieved in the basin of the internal carotid artery with almost complete regression of neurologic symptoms. The patient returned to work. The use of x-ray endovascular mini-invasive technologies, thrombus extraction and stenting in the next few hours after the development of AVCC allowed to achieve a good near and distant clinical result.
Subject
Microbiology (medical),Immunology,Immunology and Allergy
Reference23 articles.
1. Kalashnikova LA, Gulevskaya TS, Anufriev PL, Gnedovskaya EV, Konovalov RN, Piradov MA. Ischemic stroke in young age due to dissection of intracranial carotid artery and its branches (clinical and morphological study). Annals of Clinical and Experimental Neurology” (Annaly klinicheskoy i eksperimental’noy nevrologii). 2009;3(1):18-24. (In Russian).
2. Shishkina LV, Smirnov AV, Myakota AE. Ostraya rasslaivayushchaya anevrizma sosudov golovnogo mozga. Voprosy neĭrokhirurgii. 1986;3:54-7. (In Russian).
3. Adams HP Jr, Bendixen BH, Kappelle LJ, Biller J, Love BB, Gordon DL, Marsh EE 3rd. Classification of subtype of acute ischemic stroke definitions for use in a multicenter clinical trial. Stroke. 1993 Jan;24(1):35-41.
4. Alarcón-Segovia D, Pérez-Vázquez ME, Villa AR, Drenkard C, Cabiedes J. Preliminary classification criteria for the antiphospholipid syndrome within systemic lupus erythematosus. Semin Arthritis Rheum. 1992 Apr;21(5):275-86.
5. Arnold M, Halpern M, Meier N, Fischer U, Haefeli T, Kappeler L, et al. Age-dependent differences in demographics, risk factors, co-morbidity, etiology, management, and clinical outcome of acute ischemic stroke. J Neurol. 2008 Oct;255(10):1503-7. DOI: 10.1007/s00415-008-0949-9.
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