Computed Tomography Perfusion Can Guide Endovascular Therapy in Bilateral Carotid Artery Dissection

  • Isuru Induruwa Addenbrookes Hospital NHS Foundation Trust
  • Chloe Bentham Addenbrookes Hospital NHS Foundation Trust
  • Kayvan Khadjooi Addenbrookes Hospital NHS Foundation Trust
  • Nikhil Sharma The National Hospital of Neurology and Neurosurgery, London, UK.

Keywords

Stroke, carotid, carotid artery dissection, CT perfusion, stenting, endovascular

Abstract

Carotid artery dissection (CAD) is a major cause of stroke in those under age 45, accounting for around 20% of ischaemic events[1,2]. In the absence of known connective tissue disorders, most dissections are traumatic[2]. First-line management is comprised of antiplatelet or anticoagulation therapy, but many traumatic dissections progress despite this and carry the risk of long-term complications from embolism or stenosis[3].
We report a case of traumatic bilateral carotid dissection leading to progressive neurological symptoms and hypoperfusion on computed tomography perfusion (CTP), despite escalation in anticoagulation, which led to emergency carotid stenting.

Author Biographies

Kayvan Khadjooi,
Addenbrookes Hospital NHS Foundation Trust Consultant in Stroke Medicine

Nikhil Sharma,
The National Hospital of Neurology and Neurosurgery, London, UK.

Consultant Neurologist and Senior Clinical Researcher

References

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  • Published: 2015-12-14

    Issue: Vol 3 No 1 (view)

    Section: Articles

    How to cite:
    Induruwa, I., Bentham, C., Khadjooi, K., & Sharma, N. (2015). Computed Tomography Perfusion Can Guide Endovascular Therapy in Bilateral Carotid Artery Dissection. European Journal of Case Reports in Internal Medicine, 3(1). https://doi.org/https://doi.org/10.12890/2015_000295