Spontaneous Carotid Dissection
NIP AN ISRASENA, M.D.*, SUWANNA SIN SA WAIWONG, M.D.**, KAMMANT PHANTHUMCHINDA, M.D.**, SUKULA YA LERDLUM, M.D. ***
Affiliation : * Department of Pharmacology, ** Department of Medicine, *** Department of Radiology, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand.
Abstract Spontaneous internal carotid dissection typically occurs in young or middle-aged patients. It is associated with a high rate of recovery and low mortality. Anticoagulant and antiplatelet drugs fail to demonstrate a significant improvement when compared with placebo. A 38 year-old woman with spontaneous dissection of the internal carotid artery diagnosed by MRI is reported. She had an excellent recovery without treatment and no recurrent attack occurred after one year of follow-up. The clinical manifestations, diagnostic tests and treatment of spontaneous internal carotid disec- tion are briefly reviewed in this communication.
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