Joseph, T., Kandiyil, N., Beale, D., Tiivas, C. and Imray, C. (Chris) (2005) A novel treatment for symptomatic carotid dissection. Postgraduate Medical Journal, Vol.81 (No.958). e6-e6. doi:10.1136/pgmj.2004.029421

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Abstract

Carotid dissection is a rare but significant cause of stroke. The neurological damage in such cases is mainly attributable to thromboembolism.1 Current treatment includes supportive therapy and antiplatelet agent either alone or with anticoagulation. This is not supported by randomised trials2 but it is logical. Presence of microemboli in cerebral circulation is a risk factor for ischaemic stroke after transient ischaemic attack (TIA)3 and transcranial Doppler examination (TCD) can detect them in middle cerebral artery circulation.4 Controlling microemboli improves the outcome in recurrent TIA and after carotid endarterectomy.5,6 We found this strategy effective in the treatment of a symptomatic carotid dissection unresponsive to anticoagulation.

We report a case of carotid artery dissection treated successfully by controlling microemboli from the dissected artery and discuss its validity.

Item Type:	Journal Article
Divisions:	Faculty of Medicine > Warwick Medical School > Biomedical Sciences > Translational & Experimental Medicine > Metabolic and Vascular Health (- until July 2016) Faculty of Medicine > Warwick Medical School
Journal or Publication Title:	Postgraduate Medical Journal
Publisher:	BMJ
ISSN:	0032-5473
Official Date:	2005
Dates:	Date Event 2005 Published
Volume:	Vol.81
Number:	No.958
Page Range:	e6-e6
DOI:	10.1136/pgmj.2004.029421
Status:	Peer Reviewed
Publication Status:	Published

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