Internal carotid artery dissection

Case contributed by Mariia Anisimova , 23 Dec 2016
Diagnosis almost certain
Changed by Mariia Anisimova, 23 Dec 2016

Updates to Case Attributes

Status changed from draft to pending review.
Body was changed:

This case demonstrates typical ultrasound appearance of carotid artery dissection. It is an example of ultrasound findings which would be difficult to see. 

In addition, on the basis of thisthese findings, we can suggest atherosclerotic lesion, but age and clinic symptoms of the patient are more typical for dissection.

MRI was used to verify the diagnosis, which confirmed intramural hematoma on T1 fat saturated sequences.

  • -<p>This case demonstrates typical ultrasound appearance of carotid artery dissection. It is an example of ultrasound findings which would be difficult to see. </p><p>In addition, on the basis of this findings, we can suggest atherosclerotic lesion, but age and clinic symptoms of the patient are more typical for dissection.</p><p>MRI was used to verify the diagnosis, which confirmed intramural hematoma on T1 fat saturated sequences.</p>
  • +<p>This case demonstrates typical ultrasound appearance of carotid artery dissection. It is an example of ultrasound findings which would be difficult to see. </p><p>In addition, on the basis of these findings, we can suggest atherosclerotic lesion, but age and clinic symptoms of the patient are more typical for dissection.</p><p>MRI was used to verify the diagnosis, which confirmed intramural hematoma on T1 fat saturated sequences.</p>

Updates to Study Attributes

Findings was changed:

In fig.1 (longitudinal projection), fig.2 (transverse projection) we see the affected internal carotid artery. There are no normal ultrasound findings of internal carotid artery. The walls of the artery are very thickened with vessel expansion to 1,09 cm and stenosis of channel blood flow to 0,24 cm. In fig 3 shown increase of flow to 274 cm/s, that is consistent with hemodynamically significant stenosis of the artery.

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