Spontaneous dissection of cervico-cerebral arteries

Can J Neurol Sci. 1978 Feb;5(1):9-19.


Sixteen cases of spontaneous dissection of the cervical internal carotid artery (6 verified) are described. The mean age was 45 years. The clinical picture varied from simply headache and a bruit to hemiplegia and aphasia. Eleven patients had transient ischemic attacks. Headache, facial pain, a subjective bruit, oculo-sympathetic palsy and transient monocular blindness were present in various combinations in two-thirds of cases and their presence suggested the correct diagnosis. Examples of suspected dissection of the intracranial internal carotid, middle cerebral, posterior cerebral and extracranial vertebral arteries are also presented. Spontaneous dissection is more common than the literature indicates.

Publication types

  • Case Reports
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Carotid Artery Diseases / diagnosis*
  • Carotid Artery Diseases / diagnostic imaging
  • Carotid Artery, Internal
  • Cerebral Arterial Diseases / diagnosis*
  • Cerebral Arterial Diseases / diagnostic imaging
  • Female
  • Humans
  • Male
  • Middle Aged
  • Radiography