[Spontaneous dissecting aneurysm of the internal carotid artery]

S Lecoules; G Coutant; P Verdalle; B Ceccaldi; J P Algayres; J P Daly

doi:10.1016/s0248-8663(99)83095-1

[Spontaneous dissecting aneurysm of the internal carotid artery]

Rev Med Interne. 1999 May;20(5):427-30. doi: 10.1016/s0248-8663(99)83095-1.

[Article in French]

Authors

S Lecoules¹, G Coutant, P Verdalle, B Ceccaldi, J P Algayres, J P Daly

Affiliation

¹ Service de clinique médicale, Hôpital d'instruction des armées du Val de Grâce, Paris, France.

PMID: 10365414
DOI: 10.1016/s0248-8663(99)83095-1

Abstract

Introduction: Dissecting aneurysms of the internal carotid artery are due to arterial wall dissection caused by hematoma. We report a case of spontaneous dissection.

Exegesis: A 65-year-old man presented with painful Horner's syndrome and hypoglossal palsy, without a history of arterial traumatism. Magnetic resonance imaging showed carotid artery dissection.

Conclusion: Distal and subadventicial dissection can induce compression of adjacent nerves without modifications of the arterial lumen. This type of wall hematoma may not be detected by ultrasonography and angiography. Magnetic resonance imaging proves to be the best method of investigation and should be primarily advocated. Anticoagulation treatment is necessary.

Publication types

Case Reports
English Abstract

MeSH terms

Aged
Aortic Dissection / diagnosis*
Carotid Artery Diseases / diagnosis*
Carotid Artery, Internal*
Cerebral Angiography
Cerebral Hemorrhage / diagnosis
Cerebral Hemorrhage / etiology
Horner Syndrome
Humans
Hypoglossal Nerve
Intracranial Aneurysm / diagnosis*
Magnetic Resonance Imaging
Male
Pain / physiopathology
Paralysis / etiology