Abstract
Cervical artery dissection (CAD) is one of the most frequent causes (14.5%) of stroke in young adults. Cases with involvement of more than two arteries are rare. Arnold et al described 11 cases (1.5%) with triple CAD of a reported 740 patients and just a single (0.1%) quadruple case in the same population. Simultaneous dissection of the four principal vessels is extremely rare. According to Papagiannaki et al, the incidence of simultaneous three or four CADs is 1-3/million in the general population. To the best of our knowledge, there are only three published cases of spontaneous quadruple CAD.
2014 BMJ Publishing Group Ltd.
MeSH terms
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Adult
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Angiography, Digital Subtraction
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Antithrombin III / therapeutic use
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Antithrombins / therapeutic use
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Carotid Artery Thrombosis / diagnostic imaging*
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Carotid Artery Thrombosis / etiology
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Carotid Artery Thrombosis / surgery
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Carotid Artery, Internal / diagnostic imaging*
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Carotid Artery, Internal / surgery
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Carotid Artery, Internal, Dissection / diagnostic imaging*
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Carotid Artery, Internal, Dissection / etiology
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Carotid Artery, Internal, Dissection / surgery
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Cerebral Angiography
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Female
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Humans
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Stents
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Thrombophilia / complications
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Thrombophilia / diagnosis*
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Thrombophilia / drug therapy
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Vertebral Artery Dissection / diagnostic imaging*
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Vertebral Artery Dissection / etiology
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Vertebral Artery Dissection / surgery
Substances
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Antithrombins
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Antithrombin III