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Spontaneous dissection of the intrapetrous internal carotid artery

Published online by Cambridge University Press:  29 June 2007

S. R. Saeed*
Affiliation:
University Department of Neurosurgery.
A. E. Hinton
Affiliation:
University Department of Neurosurgery.
R. T. Ramsden
Affiliation:
University Department of Neurosurgery.
R. H. Lye
Affiliation:
University Department of Otolaryngology.
*
Mr S. R. Saeed, F.R.C.S. Department of OtolaryngologyManchester Royal InfirmaryOxford RoadManchester M13 9WL

Abstract

Two cases of cervicocephalic arterial dissection of the intrapetrous carotid artery are described. One patient presented with intolerable objective pulsatile tinnitus, the other with a cerebral infarction. Both were successfully treated with anticoagulants. The significance of minor degrees of trauma and of neck extension in the aetiology of these apparently spontaneous lesions is discussed.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1990

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References

Arenberg, I. M., McCreary, H. S. (1971) Objective tinnitus aurium and dural arteriovenous malformation of the posterior fossa. Annals of Otology, Rhinology and Laryngology, 80: 111–21.CrossRefGoogle ScholarPubMed
Biller, J., Hingtgen, W. N., Adams, H., Smoker, W., Godersky, J. C., Toffol, G. J. (1986) Cervuciogikic arterial dissections. A ten-year experience. Archives of Neurology, 43: 1234–38.CrossRefGoogle ScholarPubMed
Bogousslavsky, J., Despland, P. A., Regli, F. (1987) Spontaneous carotid dissection with acute stroke. Archives of Neurology, 44: 137–40.CrossRefGoogle ScholarPubMed
Courteney Harris, R. G., Ford, G. R., Innes, A. J., Colin, J. F. (1990) Pulsatile tinnitus: Three cases of arteriovenous fistula treated by ligation of the occipital artery. Journal of Laryngology and Otology, 104.CrossRefGoogle ScholarPubMed
Fisher, C. M., Ojemann, R. G., Roberson, G. H. (1978) Spontaneous dissection of cervico-cerebral arteries. Le Journal Canadien des Sciences Neurologiques, 5: 919.Google ScholarPubMed
Hart, R. G., Easton, J. D. (1983) Dissections of cervical and cerebral arteries. Clinical Neurology, 1: 155–82.CrossRefGoogle ScholarPubMed
Morrison, G. A. J. (1989) Pulsatile tinnitus and dural arteriovenous malformation. Journal of Laryngology and Otology, 103: 1073–5.CrossRefGoogle ScholarPubMed
O'Connell, B. K., Towfighi, J., Brennan, R. W., Tyler, W., Matthews, M., Weidner, W. A., Saul, R. F. (1985) Dissecting aneurysms of head and neck. Neurology, 35: 993–7.CrossRefGoogle ScholarPubMed
Trosch, R. M., Hasbani, M., Brass, L. M. (1989) ‘Bottoms Up’ dissection. New England Journal of Medicine, 1564–5.Google ScholarPubMed
Wiebers, D. O., Mokri, B. (1985) Internal carotid artery dissection after childbirth. Stroke, 16: 956–9.CrossRefGoogle ScholarPubMed