Stroke from bilateral carotid dissection after dental procedure: case report
DOI:
https://doi.org/10.11606/issn.2176-7262.rmrp.2021.173454Keywords:
Carotid artery dissection internal, Stroke, Dental implantationAbstract
Introduction: Carotid artery dissection (CAD) has the ischemic stroke as one of the main repercussions in previously healthy young individuals. It is common that in traumatic CAD, as in automobile accidents, the patient is subjected to a more complex investigation with imaging exams. These, allow an early diagnosis and, therefore, a treatment, reducing the chances of sequelae. However, non-traumatic causes with CAD outcomes have already been reported, such as dental causes. Objective: To contribute to the diagnostic valuation of non-traumatic CAD and subsequent stroke prophylaxis. Methods: We report a case of non-aneurysmatic dissection of the internal carotid arteries (ICA) after a dental procedure with evolution to bilateral stroke outcome in a 52-year-old patient.
Results: Due to the strong association of CAD with traumatic factors, in a first contact with the patient there was no suspicion of CAD or stroke (absence of focal deficit). However, late, ICA occlusion on the left and stenosis onthe right ICA were identified, resulting in two strokes and severe functional disability at discharge. Conclusion: The diagnosis of CAD is a challenge, especially since it is a multifactorial lesion. However, its early recognition will directly affect the patient’s outcome. Therefore, in the presence of any warning symptoms, meticulous questioning about the individual’s latest activities is necessary. This study alerts to the adoption of prophylactic conducts in the occurrence of causal factors such as prolonged cervical hyperextension or sudden movements of the cervical.
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Copyright (c) 2021 Oscar Reimann Junior, Heraldo de Oliveira Mello Neto, Louise Caroline Azevedo Ferreira, Jonathan Wei Ting Wen Liu, Chelin Auswaldt Steclan, Adriélle da Costa, Michael Ricardo Lang
This work is licensed under a Creative Commons Attribution 4.0 International License.
