Disección carotídea espontánea y secuencial en un paciente con síndrome antifosfolipídico

Título traducido de la contribución: Disección carotídea espontánea y secuencial en un paciente con síndrome antifosfolipídico

Paula Lobato Casado, Mouna Ennazeh El Khaili, Alvaro Jamilena López, Jose Clemente Segundo Rodríguez, Dannys Rivero Rodríguez, Juan Manuel García Benassi

Producción científica: Contribución a una revistaArtículorevisión exhaustiva

Resumen

Introduction: Spontaneous dissection of cervical arteries represents only 2% of all strokes, but represents approximately 10-25% of strokes in youth. Its etiology is sometimes a diagnostic challenge. Objective: To describe a case of sequential bilateral carotid dissection with a late recurrence suggestive of underlying arteriopathy. Patients and methods: A 54-year-old woman with acute left carotid dissection with acute/subacute ischemic lesions due to arterial-arterial embolism that progressed as a transient ischemic attack and compressive symptoms with clinical expression of ipsilateral Horner syndrome, which in the study showed a previous right carotid dissection with an organized intraluminal thrombus. She had presented headache and pupillary anisocoria 8 months earlier which were solved spontaneusly. A described extension study was carried out in which an antiphospholipid syndrome was revealed, being confirmed by a history of recurrent abortions. Conclusions: Sequential dissection with late recurrence seems to be more related to underlying pathologies likewise arteriopathy or to systemic diseases such as antiphospholipid syndrome, which is why extensive screening for underlying pathology is required.

Título traducido de la contribuciónDisección carotídea espontánea y secuencial en un paciente con síndrome antifosfolipídico
Idioma originalInglés
Número de artículo100400
PublicaciónMedicina Clinica Practica
Volumen7
N.º1
DOI
EstadoPublicada - 1 ene. 2024
Publicado de forma externa

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