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Spontaneous Internal Carotid Dissection in a 38 Year Old Female: A Case Report | OMICS International | Abstract
ISSN: 2165-7920

Journal of Clinical Case Reports
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Case Report

Spontaneous Internal Carotid Dissection in a 38 Year Old Female: A Case Report

Kareem Abed*, Amit Misra and Viren Vankawala
Kareem Abed, Atlanticare Regional Medical Center, USA
Corresponding Author : Kareem Abed
Atlanticare Regional Medical Center, USA
Tel: +1 609-652-1000
E-mail: [email protected]
Received June 09, 2015; Accepted July 13, 2015; Published July 15, 2015
Citation: Abed K, Misra A, Vankawala V (2015) Spontaneous Internal Carotid Dissection in a 38 Year Old Female: A Case Report. J Clin Case Rep 5:555. doi:10.4172/2165-7920.1000555
Copyright: © 2015 Abed K, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

This case describes a patient with amaurosis fugax as a result of non-traumatic internal carotid dissection. Typical symptoms of monocular blindness, especially in the setting of headache or neck pain should prompt evaluation for carotid dissection. Initial presentation with transient vision loss, lasting thirty minutes with a normal ophthalmic exam should raise suspicion for transient ischemic attack as well as carotid dissection. Symptoms may progress with resultant cerebral infarction as the dissection progresses. Carotid ultrasound with notable decreased internal carotid artery velocity prompts CT angiography of the neck confirming the carotid dissection. Anti-platelet therapy is the first line treatment, with anticoagulation reserved for cases of recurrent, progressive symptomatic episodes.

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