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J Neurocrit Care 2011;4(1): 7-10.
흔하지 않은 두개내 동맥박리에 의해 발생한 허혈성뇌졸중 2예
이정빈·성민재·박태환·김민기
서울의료원 신경과
Uncommon Intracranial Artery Dissection as a Cause of Ischemic Stroke
Chung Bin Lee, MD, Min Jae Seong, MD, Tai Hwan Park, MD and Min Ky Kim, MD
Department of Neurology, Seoul Medical Center, Seoul, Korea
ABSTRACT
Background: Intracranial internal carotid artery (ICA) dissection is an uncommon cause of cerebral infarction, compared with the dissection of the ICA’s cervical portion. Moreover, in elderly patients with stroke, intracranial artery dissection was seldom reported as a cause of stroke.
Case Report: We describe two elderly patients with intracranial artery dissection at unusual site which is preceded by a trivial head trauma. 3D CT angiography was performed to verify dissection in both patients.
Conclusions: Clinicians should be aware of the possibility of artery dissection also in elderly patient, and CT angiography could be a less invasive and fair diagnostic method.
Key Words: Cerebral infarction · Artery dissection · Internal carotid artery
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