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Spontaneous carotid artery dissection

Perez, Daniel J. MPAS, PA-C

Journal of the American Academy of PAs: October 2017 - Volume 30 - Issue 10 - p 27–29
doi: 10.1097/01.JAA.0000524716.63461.57
Case Report
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ABSTRACT Symptomatic spontaneous internal carotid artery dissection is responsible for up to 20% of strokes in patients under age 45 years. A carotid artery dissection occurs when arterial walls separate and create a false lumen. Risk factors include neck trauma, recent infection, family history, smoking, hypertension, oral contraceptives, migraine headaches, and connective tissue disease. Dissections can produce local pain, facial paralysis, and pupillary defects. Treatment includes anticoagulation and, in the event of pharmaceutical failure or recurrence, surgery.

Daniel J. Perez practices at Thomas Moore Health Clinic in Fort Hood, Tex. The author has disclosed no potential conflicts of interest, financial or otherwise.

Copyright © 2017 American Academy of Physician Assistants
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