A Spontaneous Extracranial Internal Carotid Artery Dissection with Autosomal Dominant Polycystic Kidney Disease: A Case Report and Literature Review.
Tsuyoshi IzumoYuka OgawaAyaka MatsuoKazuaki OkamuraRyotaro TakahiraEisaku SadakataMichiharu YoshidaSusumu YamaguchiYohei TateishiShiro BabaYoichi MorofujiTakeshi HiuTakeo AndaTakayuki MatsuoPublished in: Medicina (Kaunas, Lithuania) (2022)
Background and Objectives : Non-cystic manifestation of autosomal dominant polycystic kidney disease (ADPKD) is an important risk factor for cerebral aneurysms. In this report, we describe a rare spontaneous internal carotid artery (ICA) dissection in a patient with ADPKD. Observations : A 38-year-old woman with a history of ADPKD and acute myocardial infarction due to coronary artery dissection experienced severe spontaneous pain on the left side of her neck. Magnetic resonance imaging (MRI) revealed a severe left ICA stenosis localized at its origin. Carotid plaque MRI showed that the stenotic lesion was due to a subacute intramural hematoma. Close follow-up by an imaging study was performed under the diagnosis of spontaneous extracranial ICA dissection, and spontaneous regression of the intramural hematoma was observed uneventfully. Conclusions : When patients with a history of ADPKD present with severe neck pain, it is crucial to consider the possibility of a spontaneous ICA dissection. A carotid plaque MRI is beneficial in the differential diagnosis. Conservative management may benefit patients without ischemic symptoms.
Keyphrases
- polycystic kidney disease
- internal carotid artery
- magnetic resonance imaging
- middle cerebral artery
- contrast enhanced
- coronary artery
- acute myocardial infarction
- computed tomography
- end stage renal disease
- coronary artery disease
- early onset
- newly diagnosed
- chronic pain
- heart failure
- case report
- high resolution
- depressive symptoms
- physical activity
- oxidative stress
- spinal cord
- mass spectrometry
- magnetic resonance
- pain management
- drug induced
- pulmonary hypertension
- single cell
- prognostic factors
- blood brain barrier
- neuropathic pain
- atrial fibrillation
- fluorescence imaging
- patient reported outcomes
- patient reported