Dissection of the internal carotid artery. On purpose of a patient

Abstract

The carotid artery dissection is a rare disease, especially the pseudoaneurysm. Often it has a oligosymptomatic presentation (cervical or facial pain, Horner syndrome, persistent or transitory ischemic dysfunctions), but can also be asymptomatic, which makes its diagnosis requires a high index of suspicion. It is a disease of young people, which usually occurs between 30 and 50 years, although it has also been reported in children and older adults. It is the bleeding occurs within the carotid artery wall, which separates the intima from media, and which generates the formation of an aneurysm. A female patient of 34 years old is presented, with a history of apparent health, who began with hemicranial headache and difficulty swallowing; in a neck ultrasound, by the additional use of Doppler techniques, it is detected a hypoechoic image surrounding the arterial lumen of the left carotid artery with decreased itself, compatible with an image of thrombosis versus carotid pseudoaneurysm for possible left carotid dissection.

Keywords

• traumatismos de las arterias carótidas
• aneurisma falso