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Spontaneous recanalization of carotid artery occlusion following non traumatic dissection

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Abstract

We studied 7 patients with internal carotid occlusion following spontaneous arterial dissection. All presented strokes, in one associated with Horner's syndrome. The doppler examination showed carotid occlusion, but only angiography established the diagnosis of vascular disease. Spontaneous recanalization was observed in 6 cases, treated only by antiplatelet drugs.

Sommario

Abbiamo studiato 7 pazienti con occlusione dell'arteria carotide interna conseguente a dissezione arteriosa spontanea. Tutti i pazienti avevano presentato stroke, in uno associato con sindrome di Horner. L'esame dopplersonografico mostrava occlusione carotidea, ma solo lo studio angiografico permetteva di definire la diagnosi di questa patologia vascolare non aterosclerotica. Si osserva ricanalizzazione spontanea della carotide interna al controllo angiografico dopo 6–9 settimane in 6 casi, trattati solo con farmaci antiaggreganti. Solo in un pazienti i controlli seriati con doppler transcranico confermavano la persistenza dell'occlusione a distanza di sei mesi.

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Authors and Affiliations

  1. Istituto di Neurochirurgia dell'Università di Pisa, via Roma, 67-56100, Pisa

    Parenti G. & Marconi F.

  2. Servizio di Neuroradiologia Presidio Ospedaliero USL 12 di Pisa, via Roma, 67-56100, Pisa

    Canapicchi R. & Puglioli M.

  3. Istituto di Neurologia dell'Università di Pisa, via Roma, 67-56100, Pisa

    Giraldi C.

Authors
  1. Parenti G.
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  2. Marconi F.
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  3. Canapicchi R.
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  4. Puglioli M.
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  5. Giraldi C.
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Parenti, G., Marconi, F., Canapicchi, R. et al. Spontaneous recanalization of carotid artery occlusion following non traumatic dissection. Ital J Neuro Sci 10, 361–367 (1989). https://doi.org/10.1007/BF02333784

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  • DOI: https://doi.org/10.1007/BF02333784

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