Ischemic Infarctions in Young Men Secondary to Traumatic and Spontaneous Intracranial Arteries Dissection

J Korean Neurol Assoc > Volume 16(2); 1998 > Article

Journal of the Korean Neurological Association 1998;16(2): 160-165.

청년에서 발생한 외상성 및 자발성 두개내 동맥 박리에 의한 허혈성 뇌경색

이동국, 도진국 곽규호 오희종

대구효성가톨릭대학교 의과대학 신경과학교실 두개내 동맥 박리에 의한 허혈성 뇌경색

Ischemic Infarctions in Young Men Secondary to Traumatic and Spontaneous Intracranial Arteries Dissection

Dong Kuck Lee, M.D., Jin Kuk Do, M.D., Kyu Ho Kwak, M.D., Hee Jong Oh, M.D.

Department of Neurology, School of Medicine, Catholic University of Taegu-Hyosung

Abstract

Arterial dissection begins with spontaneous or traumatic rent of intima, which sometimes allows blood to penetrate the layers of the arterial wall. Dissections of the craniocervical arteries are separated according to whether they are extracranial or intracranial, spontaneous or traumatic. Dissection of intracranial portions of the carotid system is rare, but it may be one of the important causes of ischemic stroke in the young adults. Cerebral angiography, MRI, and Doppler sonography are important diagnostic methods in this case. Initial treatment with anticoagulants or antiplatelet agents are effective in many cases, but sometimes surgical method is recommended. We presented ischemic infarctions in young men secondary to traumatic and spontaneous intracranial arteries dissection.