AI Article Synopsis
- Carotid artery dissections are often underrecognized conditions that primarily affect younger and middle-aged individuals, posing significant risks.
- The text presents three case studies highlighting the varied symptoms associated with these dissections, which can include neck pain, headaches, and vision problems, demonstrating the diagnostic challenges for emergency physicians.
- Early detection through medical imaging and vigilant clinical assessment is crucial for improving outcomes and preventing complications associated with carotid artery dissections.
Article Abstract
Carotid artery dissections are potentially disabling, probably underdiagnosed, and mainly affect young-aged and middle-aged people. We present three consecutive cases illustrating different clinical presentations and thereby emphasizing the diagnostic challenge of carotid artery dissections for the emergency physician. Neck and facial pain, headache, unilateral pulsatile tinnitus, partial Horner's syndrome (or oculosympathetic palsy), amaurosis fugax, retinal infarction, and anterior circulation brain ischemia may all occur in isolation or in various combinations. Medical imaging plays a pivotal role in making the right diagnosis. Clinical vigilance is of utmost importance as early diagnosis and timely treatment favor long-term prognosis and even prevent ischemic complications. We review the literature and discuss the pathophysiology, etiology, clinical presentation, diagnosis, imaging techniques, treatment, and prognosis of carotid dissections.
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| http://dx.doi.org/10.1097/MEJ.0b013e328349ee6d | DOI Listing |
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