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Conditions and Diseases > Neurological Disorders Forum > Carotid artery disection and transient ischemic attacks
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Q: Carotid artery disection and transient ischemic attacks
asked by: DoctorQuestion on July 30th, 2008
Carotid Artery Dissection - was it a stroke?
Posted: 07-29-08 12:48pm


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7 wks ago I went to A&E with right sided numbness, eye and mouth drooping, visual disturbance, pulsative tinnitus, confusion especially around speech, dizziness, I was sent home with an 'infection'.
I stayed in bed feeling exhausted, the symptoms reduced but i didn't get back to normal. 6 days later I had the numbness again. Went to A&E they admitted me and this time I had CT/MRI neck doppler all were clear. I was sent home with migraine.
7 wks later I was admitted again. I was then sent for MRA/MRI scan and diagnosed with Carotid Artery Dissection.
Did i have a small stroke or did i just have symptoms of a CAD?


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Dr. Nikola Gjuzelov , MD
replied on July 31st, 2008
Neurological Disorders Answer A4507
Carotid Artery Disection (CAD) often causes no symptoms at all even if it causes complete occlusion because the other carotid artery (there are 2 carotid arteries) provides the brain with enough blood.

CAD causes symptoms when a blood clot forms on the place of dissection and then rubs from the artery wall. The rubbed clot goes into the brain circulation (thromboembolia) and sticks in a terminal brain artery causing an ischemic stroke (brain infarct). An ischemic stroke causes permanent brain damage.

Sometimes the embolus is very small and is dissolved by the blood’s fibrinolitic system before permanent brain damage occurs. In such cases, symptoms of a stroke are only temporary and there is no permanent brain damage. This is called Transient Ischemic Attack. I believe that you had such an attack.

You may want to consult a neurologist and vascular surgeon about your condition.





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