sharon sanders
Editor-in-Chief & President
Spontaneous Right Intrapetrous Internal Carotid Dissection in a Patient With Active COVID-19
Oscar Noble, MD;
Keri Sprung, MBA;
Orlando Diaz, MD;
Stephanie Coulter, MD;
Eduardo Hernandez-Vila, MD
Tex Heart Inst J (2024) 51 (2): e248403.
https://doi.org/10.14503/THIJ-24-8403
Abstract
Spontaneous cervical artery dissection, a nontraumatic tear in the wall of an internal carotid or vertebral artery, is a common cause of stroke, particularly in patients younger than 40 years of age; however, petrous internal carotid artery dissection is extremely rare. This case report describes a 50-year-old woman who had a spontaneous intrapetrous internal carotid dissection thought to be secondary to active SARS-CoV-2 infection; the dissection was treated successfully with a flow-diverter stent.
Key Points
more... https://meridian.allenpress.com/thi...ontaneous-Right-Intrapetrous-Internal-Carotid
Oscar Noble, MD;
Keri Sprung, MBA;
Orlando Diaz, MD;
Stephanie Coulter, MD;
Eduardo Hernandez-Vila, MD
Tex Heart Inst J (2024) 51 (2): e248403.
https://doi.org/10.14503/THIJ-24-8403
Abstract
Spontaneous cervical artery dissection, a nontraumatic tear in the wall of an internal carotid or vertebral artery, is a common cause of stroke, particularly in patients younger than 40 years of age; however, petrous internal carotid artery dissection is extremely rare. This case report describes a 50-year-old woman who had a spontaneous intrapetrous internal carotid dissection thought to be secondary to active SARS-CoV-2 infection; the dissection was treated successfully with a flow-diverter stent.
Key Points
- Clinicians should consider spontaneous carotid artery dissection in young patients with neurologic symptoms who have or have recently had COVID-19.
- Spontaneous carotid artery dissection is a common cause of stroke in the younger adult population (mean age, 45 years), with a prevalence of 20%.
- Spontaneous intrapetrous segment internal carotid artery dissection is rare because the petrous bone protects this segment.
- Evidence suggests that the incidence of spontaneous carotid artery dissection has increased in young patients since the beginning of the COVID-19 pandemic, despite a paucity of risk factors.
- Conservative treatment is often recommended as first-line therapy for stable asymptomatic patients with cerebral artery dissection; endovascular or, rarely, surgical treatment is reasonable for individuals with persistent symptoms.
more... https://meridian.allenpress.com/thi...ontaneous-Right-Intrapetrous-Internal-Carotid