Conţinutul numărului revistei |
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Articolul urmator |
286 4 |
Ultima descărcare din IBN: 2024-02-10 23:47 |
Căutarea după subiecte similare conform CZU |
616.831-005.1-053.6 (1) |
Neurologie. Neuropatologie. Sistem nervos (974) |
SM ISO690:2012 COJOCARU, Adelina, GAVRILIUC, Pavel, PECIUL, Andrei. Carotid artery dissection and ischemic stroke in young adults. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 282. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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CZU: 616.831-005.1-053.6 | ||||||
Pag. 282-282 | ||||||
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Rezumat | ||||||
Background. Cervical artery dissection (CAD) leads to ischemic stroke in 2% of cases. Neck trauma is the most common etiopathogenetic factor in carotid dissection and cerebral ischemia in the middle cerebral artery (MCA). Objective of the study. Description of the evolution and medical approach of a patient with carotid artery dissection and ischemic stroke (IS). Materials and Methods. Presentation of a case of a young patient with traumatic internal carotid artery (ICA) dissection and IS treated by mechanical thrombectomy. Results. A 23-year-old male was admitted to hospital after a sports injury with acute onset of a motor deficit and aphasia. Cerebral CT and Angio-CT showed occlusion of the left MCA in the M1, M2 segment, and post-traumatic dissection of the left ICA in the cervical segment. It was established diagnosis of ischemic stroke in the left MCA with right hemiplegia and global aphasia, NIHSS-17p. After mechanical thrombectomy was obtained a TICI IIB score of revascularization with the improvement of NIHSS-10p. After 2 days, because of the worsened neurological status, possibly due to the progression of cerebral edema was performed a decompressive craniectomy. The patient was discharged after 18 days of treatment, with moderate hemiparesis and without aphasia, NIHSS-7p, mRs-3p. Conclusion. Early identification of CAD and proper treatment can improve the prognosis of patients and reduce the severity of sequelae, especially in young patients. |
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Cuvinte-cheie ischemic stroke, Dissection, carotid artery, accident vascular cerebral, disecție, artera carotidă |
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