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"Phacing" a New Cause of Carotid Artery Dissection.

Abstract Cervical arterial dissection (CAD) is a frequent and preventable cause of ischemic stroke in young patients. Several arguments suggest that genetic and developmental disorders could play an important role as part of a multifactorial predisposition of sporadic CAD.We present 2 cases of young patients with CAD in association with cutaneous lesions and nonatherosclerotic multivessel arteriopathy.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title the neurologist
Publication Year Start




PMID- 28248915
OWN - NLM
STAT- In-Process
DA  - 20170301
LR  - 20170301
IS  - 2331-2637 (Electronic)
IS  - 1074-7931 (Linking)
VI  - 22
IP  - 2
DP  - 2017 Mar
TI  - "Phacing" a New Cause of Carotid Artery Dissection.
PG  - 54-56
LID - 10.1097/NRL.0000000000000108 [doi]
AB  - INTRODUCTION: Cervical arterial dissection (CAD) is a frequent and preventable
      cause of ischemic stroke in young patients. Several arguments suggest that
      genetic and developmental disorders could play an important role as part of a
      multifactorial predisposition of sporadic CAD.We present 2 cases of young
      patients with CAD in association with cutaneous lesions and nonatherosclerotic
      multivessel arteriopathy. CASE REPORTS: Our first patient was a 17-year-old white
      girl with sudden onset of weakness in her right upper limb. A magnetic resonance 
      angiogram showed a severe stenosis along the extracranial and intracranial
      segments of the left internal carotid artery and the left middle cerebral artery.
      A complete ultrasound study confirmed the stenoses with characteristics
      suggestive of dissection.Our second patient was a 7-year old white girl with a
      past history of left middle cerebral artery ischemic stroke. During the
      follow-up, an ultrasonographical examination discovered an asymptomatic
      dissection of the right internal carotid artery.Both patients reported a history 
      of large unilateral hemangiomas; in the first case a coloboma of the left optic
      disc and an aortic aneurysm were also present. These findings were suggestive of 
      PHACE-a neurocutaneous developmental syndrome associated with constitutional
      arteriopathy of the major cerebral vessels. CONCLUSIONS: Noteworthy, among
      vascular abnormalities of PHACE, CADs have never been reported before. Our 2
      cases suggest that CAD is an underecognized cerebrovascular manifestation of
      PHACE and it should be searched for in these patients. Ultrasound, being
      noninvasive and portable, is a useful tool for the assessment and follow-up of
      these patients.
FAU - Kulyk, Caterina
AU  - Kulyk C
AD  - Departments of *Neurological Sciences daggerNeurological Sciences, Neuroradiology
      Unit double daggerPediatric Neurology section signNeuroscience, University of
      Padua, School of Medicine, Padova, Italy.
FAU - Farina, Filippo
AU  - Farina F
FAU - Palmieri, Anna
AU  - Palmieri A
FAU - Viaro, Federica
AU  - Viaro F
FAU - Causin, Francesco
AU  - Causin F
FAU - Laverda, Anna M
AU  - Laverda AM
FAU - Baracchini, Claudio
AU  - Baracchini C
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Neurologist
JT  - The neurologist
JID - 9503763
EDAT- 2017/03/02 06:00
MHDA- 2017/03/02 06:00
CRDT- 2017/03/02 06:00
AID - 10.1097/NRL.0000000000000108 [doi]
AID - 00127893-201703000-00004 [pii]
PST - ppublish
SO  - Neurologist. 2017 Mar;22(2):54-56. doi: 10.1097/NRL.0000000000000108.

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