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Acta Neurológica Colombiana

versão impressa ISSN 0120-8748


GONZALEZ TRUJILLO, Fernando; MORENO MOSQUERA, Yeison Fabián; SANCHEZ CARO, Eliana María  e  HOLGUIN DIAZ, Jorge Iván. Dissection of cervical cranial arterial vessels. Report of cases presented during 2 years at a clinical institution of Colombia. Discussion with emphasis in treatment. Acta Neurol Colomb. [online]. 2018, vol.34, n.1, pp.85-91. ISSN 0120-8748.

Arterial dissection (AD) of the cranio-cervical vessels is among the causes of stroke in the population. The age group where this pathology prevails is between 35 and 50 years old. Vascular dissections can be traumatic or spontaneous. The extra cranial portion of the vessels is the most vulnerable compared to the intracranial portion. Magnetic resonance imaging with angiographic sequences is considered the ideal study for the diagnosis of AD. The available treatment options are: thrombolysis, antithrombotic treatment with anti-clotting or anti-aggregation, endo-vascular treatment and surgical option.

The purpose of this paper is to present the institutional experience at the Clinica de Occidente in Santiago de Cali, Colombia, with the diagnosis and therapeutic approach of the cranio-cervical vascular dissection with the clinical cases attended in a period of 2 years and update the subject with an emphasis on treatment.

Palavras-chave : dissection; angiography; Platelet Aggregation Inhibitors; anti-clotting; endovascular; stent (MeSH).

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