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CC BY-NC-ND 4.0 · Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2021; 40(03): e245-e252
DOI: 10.1055/s-0040-1718422
Review Article | Artigo de Revisão

Traumatic Dissection of Arterial Cervical Vessels: Report of Two Cases and Literature Review

Dissecçāo arterial traumática de vasos craniocervicais: Relato de casos e revisāo da literatura
Guilherme Finger 
1   Department of Neurosurgery, Hospital Cristo Redentor, Porto Alegre, RS, Brazil
,
Tobias Ludwig do Nascimento 
1   Department of Neurosurgery, Hospital Cristo Redentor, Porto Alegre, RS, Brazil
,
Julia Carolina Lusa Tessaro 
2   Universidade Luterana do Brasil, Canoas RS, Brazil
,
Eduarda Tanus Stefani 
2   Universidade Luterana do Brasil, Canoas RS, Brazil
,
Maria Eduarda Conte Gripa 
2   Universidade Luterana do Brasil, Canoas RS, Brazil
,
Eduardo Ekman Tisbierek 
2   Universidade Luterana do Brasil, Canoas RS, Brazil
,
Luiz Carlos Porcello Marrone 
3   Department of Neurology, Universidade Luterana do Brasil, Canoas RS, Brazil
,
Carla Bittencourt Rynkowski 
4   Department of Intensive Care Unit, Hospital Cristo Redentor, Porto Alegre, RS, Brazil
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Abstract

Even though traumatic dissection of cervical arterial vessels is the major cause of stroke among adults, it is still an underdiagnosed disease in neurosurgical emergencies, since most patients do not have or present subtle clinical signs in the acute phase. The authors report two interesting cases of cervical artery dissection with different traumatic mechanisms and present a broad literature review about this subject.

Resumo

Embora a dissecçāo traumática de vasos cervicais seja um das principais causas de isquemia cerebral em adultos, ainda é um patologia subdiagnosticada nas emergências, uma vez que os pacientes sāo assintomáticos ou oligossintomáticos na fase aguda. Os autores descrevem dois casos interessantes de dissecçāo de artérias cervicais por diferentes mecanismos traumáticos, seguidos de ampla revisāo da literatura sobre o tema.

Keywords

internal carotid dissection - vertebral artery dissection - cerebrovascular trauma

Palavras-chave

dissecçao artéria carótida - dissecçao vertebral - trauma cerebrovascular


Publication History

Received: 04 May 2020

Accepted: 04 August 2020

Article published online:
26 November 2020

© 2020. Sociedade Brasileira de Neurocirurgia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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