Postcoital carotid artery dissection associated with acute cerebral infarction: A case report
Journal
Acta Neurologica Taiwanica
Journal Volume
18
Journal Issue
4
Pages
267-271
Date Issued
2009
Author(s)
Abstract
Carotid arterial dissections may result from spontaneous or traumatic causes. Postcoital arterial dissections have been reported in both the vertebral and coronary arteries. We report a rare case of spontaneous dissection from the common carotid artery to the internal and external carotid arteries after sexual intercourse, leading to fulminant middle cerebral artery (MCA) territory infarct. Although we restored the flow in the proximal carotid artery with stenting, brain swelling with hemorrhagic transformation was still noted in the region of the right MCA.
SDGs
Other Subjects
adult; anterior cerebral artery; artery blood flow; article; blood pressure; brain angiography; brain infarction; carotid artery injury; case report; cerebral artery disease; common carotid artery; computer assisted tomography; consciousness; coronary stent; craniectomy; decompression surgery; disease association; external carotid artery; follow up; hemiplegia; human; internal carotid artery occlusion; male; National Institutes of Health Stroke Scale; percutaneous transluminal angioplasty; pulse rate; recanalization; risk benefit analysis; sexual intercourse; swelling; tracheotomy; ventilator; Acute Disease; Carotid Artery Diseases; Carotid Artery, Common; Carotid Artery, Internal, Dissection; Coitus; Humans; Infarction, Middle Cerebral Artery; Male; Middle Aged
Type
journal article