Acute three-vessel cervical arterial occlusion due to spontaneous quadruple cervical artery dissection

BMJ Case Rep. 2014 Jun 23:2014:bcr2014203725. doi: 10.1136/bcr-2014-203725.

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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Angiography, Digital Subtraction
  • Antithrombin III / therapeutic use
  • Antithrombins / therapeutic use
  • Carotid Artery Thrombosis / diagnostic imaging*
  • Carotid Artery Thrombosis / etiology
  • Carotid Artery Thrombosis / surgery
  • Carotid Artery, Internal / diagnostic imaging*
  • Carotid Artery, Internal / surgery
  • Carotid Artery, Internal, Dissection / diagnostic imaging*
  • Carotid Artery, Internal, Dissection / etiology
  • Carotid Artery, Internal, Dissection / surgery
  • Cerebral Angiography
  • Female
  • Humans
  • Stents
  • Thrombophilia / complications
  • Thrombophilia / diagnosis*
  • Thrombophilia / drug therapy
  • Vertebral Artery Dissection / diagnostic imaging*
  • Vertebral Artery Dissection / etiology
  • Vertebral Artery Dissection / surgery

Substances

  • Antithrombins
  • Antithrombin III