Abstract
Dissection of the cervicocephalic arteries is one of the main causes of acute ischemic cerebrovascular disorders in the young. Intramural hematoma is formed by blood penetration between the layers of arterial wall through the arterial intima defect and narrows the lumen of the artery, which is clinically manifested by symptoms of cerebral ischemia. A lot of cases of cervicocephalic dissection occurs in internal carotid and less common in vertebral arteries. Often fast movements in the neck, head and neck trauma or physical exercises provoke the development of dissection. Dissection of the middle cerebral artery is a rare localization and in the period from 1966 to 2013 only 59 cases of stroke and 2 cases of transient ischemic attack were described.
Published Version
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