Computed Tomography Perfusion Can Guide Endovascular Therapy in Bilateral Carotid Artery Dissection
KeywordsStroke, carotid, carotid artery dissection, CT perfusion, stenting, endovascular
Carotid artery dissection (CAD) is a major cause of stroke in those under age 45, accounting for around 20% of ischaemic events[1,2]. In the absence of known connective tissue disorders, most dissections are traumatic. First-line management is comprised of antiplatelet or anticoagulation therapy, but many traumatic dissections progress despite this and carry the risk of long-term complications from embolism or stenosis.
We report a case of traumatic bilateral carotid dissection leading to progressive neurological symptoms and hypoperfusion on computed tomography perfusion (CTP), despite escalation in anticoagulation, which led to emergency carotid stenting.
Issue: Vol. 3 No. 1 (view)