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Acta Neurologica Belgica
Published in: Acta Neurologica Belgica 2/2020

01-04-2020 | Neuro-Images

Pseudo-dissection of the internal carotid artery in acute ischemic stroke

Authors: Rares Cristian Filep, Zoltan Bajko, Iunius Paul Simu, Adina Stoian

Published in: Acta Neurologica Belgica | Issue 2/2020

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Excerpt

Imaging plays a central role in the diagnosis, triage and outcome of acute ischemic stroke cases; therefore a deep understanding of its modalities is necessary in order to positively impact patient care [1]. The aim of the present case is to illustrate a computed tomography angiography (CTA) flow artifact mimicking an internal carotid artery (ICA) dissection caused by a severe, proximal common carotid artery (CCA) stenosis and a subsequent external-to-internal carotid artery (ECA-to-ICA) steal phenomenon. …
Literature
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Grossberg JA, Haussen DC, Cardoso FB, Rebello LC, Bouslama M, Anderson AM, Frankel MR, Nogueira RG (2017) Cervical carotid pseudo-occlusions and false dissections: intracranial occlusions masquerading as extracranial occlusions. Stroke 48(3):774–777CrossRef
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Kim JJ, Dillon WP, Glastonbury CM, Provenzale JM, Wintermark M (2010) Sixty-four-section multidetector CT angiography of carotid arteries: a systematic analysis of image quality and artifacts. AJNR Am J Neuroradiol 31(1):91–99CrossRef
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Middleton WD, Foley WD, Lawson TL (1988) Flow reversal in the normal carotid bifurcation: color Doppler flow imaging analysis. Radiology 167(1):207–210CrossRef
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Schuierer G, Huk WJ. Diagnostic significance of flow separation within the carotid bifurcation demonstrated by digital subtraction angiography. Stroke. 1990;21(12):1674–1679CrossRef
Metadata
Title
Pseudo-dissection of the internal carotid artery in acute ischemic stroke
Authors
Rares Cristian Filep
Zoltan Bajko
Iunius Paul Simu
Adina Stoian
Publication date
01-04-2020
Publisher
Springer International Publishing
Published in
Acta Neurologica Belgica / Issue 2/2020
Print ISSN: 0300-9009
Electronic ISSN: 2240-2993
DOI
https://doi.org/10.1007/s13760-018-1025-6

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