Open AccessA Case of Young Man with Stroke Caused by Internal Carotid Artery Dissection
Author(s) -
Soong BCP,
Chan HY,
Ng F
Publication year - 2012
Publication title -
hong kong journal of emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.145
H-Index - 12
eISSN - 2309-5407
pISSN - 1024-9079
DOI - 10.1177/102490791201900109
Subject(s) - medicine , confusion , warfarin , dissection (medical) , stroke (engine) , vertebral artery dissection , internal carotid artery , magnetic resonance imaging , surgery , magnetic resonance angiography , radiology , angiography , arterial dissection , carotid arteries , cardiology , atrial fibrillation , psychology , mechanical engineering , psychoanalysis , engineering
Internal carotid artery dissection is one of the most frequent causes of stroke in young people. Seventy percents of cases are under 50 years old and there is a slight predominance of males. Trivial head injury or neck trauma may cause dissection. Magnetic resonance angiography is important in diagnosis and management planning. Early anti‐thrombotic therapy is the main treatment modality. In this case report, a 27 years old male van driver who has played boxing for several years presented to us with acute confusion after a car accident. The patient was put on warfarin for several months and enjoyed good recovery at follow up.