II. Pathophysiology

  1. Most common Cervical Artery Dissection is of the Carotid Artery at 2-3 cm above Carotid Artery bifurcation

III. Causes

IV. Findings

  1. Initial
    1. Headache (most common)
      1. Sudden onset, unilateral constant, throbbing Headache
      2. Thunderclap Headache may be present
    2. Ipsilateral Neck Pain
    3. Horner Syndrome
      1. Typically partial Horner Syndrome (Miosis and Ptosis without Anhidrosis)
  2. Later
    1. Anterior cerebral ischemia
    2. Retinal ischemia

V. Complications

  1. Anterior circulation Cerebrovascular Accident
  2. Aneurysm formation
    1. Local mass effect (esp. compression of CN 9, CN 10 and CN 12)
    2. Subarachnoid Hemorrhage

VI. Imaging

VII. Management

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Related Studies

Ontology: Carotid artery dissection (C0338585)

Concepts Disease or Syndrome (T047)
ICD9 443.21
ICD10 I77.71
SnomedCT 230729006
Italian Dissezione della arteria carotide
Japanese 頚動脈解離, ケイドウミャクカイリ
English dissection of carotid artery (diagnosis), dissection of carotid artery, Dissect carotid artery, dissection carotid artery, carotid artery dissection, Carotid artery dissection, Carotid artery dissection (disorder), Dissection of carotid artery
Czech Disekce arteria carotis
Hungarian Arteria carotis dissectio
Spanish disección de la arteria carótida (trastorno), disección de la arteria carótida, Disección de la arteria carótida
Portuguese Disecção da artéria carótida
Dutch arteria carotis dissecans
French Dissection de l'artère carotide
German Dissektion der Arteria carotis