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Spontaneous Dissection of Cervico-Cerebral Arteries

Published online by Cambridge University Press:  18 September 2015

C. Miller Fisher ,
Robert G. Ojemann  and
Glenn H. Roberson
C. Miller Fisher*
Affiliation:
Neurological and Neurosurgical Services and the Department of Radiology, Massachusetts General Hospital and the Department of Neurology, Neurosurgery and Radiology, Harvard Medical School, Boston, Massachusetts
Robert G. Ojemann
Affiliation:
Neurological and Neurosurgical Services and the Department of Radiology, Massachusetts General Hospital and the Department of Neurology, Neurosurgery and Radiology, Harvard Medical School, Boston, Massachusetts
Glenn H. Roberson
Affiliation:
Neurological and Neurosurgical Services and the Department of Radiology, Massachusetts General Hospital and the Department of Neurology, Neurosurgery and Radiology, Harvard Medical School, Boston, Massachusetts
*
Department of Neurology, Massachusetts General Hospital, Fruit Street, Boston MA 02114
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Summary:

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Sixteen cases of spontaneous dissection of the cervical internal carotid artery (6 verified) are described. The mean age was 45 years. The clinical picture varied from simply headache and a bruit to hemiplegia and aphasia. Eleven patients had transient ischemic attacks. Headache, facial pain, a subjective bruit, oculo-sympathetic palsy and transient monocular blindness were present in various combinations in two-thirds of cases and their presence suggested the correct diagnosis. Examples of suspected dissection of the intracranial internal carotid, middle cerebral, posterior cerebral and extracranial vertebral arteries are also presented. Spontaneous dissection is more common than the literature indicates.

Type
Research Article
Information
Canadian Journal of Neurological Sciences , Volume 5 , Issue 1 , February 1978 , pp. 9 - 19
Copyright
Copyright © Canadian Neurological Sciences Federation 1978

References

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