ABSTRACT
INTRODUCTION: Spontaneous dissection of cervical arteries is one of the major causes of stroke in young patients. The recommended treatment is curative anticoagulation. However, in selected cases, this treatment could fail or meet contraindications. In such cases, an endovascular stent-assisted angioplasty could be successful. CASE REPORT: We report the case of a 47-year-old patient with spontaneous dissection of the carotid and vertebral arteries. Despite optimized anticoagulant therapy, cerebral perfusion was low. An endovascular stent-assisted angioplasty was performed in the intra- and extracranial segments of the right internal carotid artery. Consequently by improving the intracranial circulation, normal functioning was restored with no immediate complications and the patient remained free of complications at 16-month follow-up. CONCLUSION: Dissections of cervical arteries that lead to a chronic reduction in brain perfusion might benefit from endovascular stent-assisted angioplasty.
Subject(s)
Angioplasty/methods , Neurosurgical Procedures , Stents , Vertebral Artery Dissection/surgery , Anticoagulants/therapeutic use , Carotid Artery, Internal/surgery , Carotid Artery, Internal, Dissection/surgery , Cerebrovascular Circulation/physiology , Humans , Magnetic Resonance Angiography , Male , Middle Aged , Vertebral Artery Dissection/physiopathologyABSTRACT
A case of acquired uterine arteriovenous fistula in a 28 Year old patient is reported that probably is secondary to a "difficult" delivery. Sono-graphic, MRI and angiographic findings are reported, before and after endovascular management.
Subject(s)
Arteriovenous Fistula/diagnosis , Puerperal Disorders/diagnosis , Uterus/blood supply , Adult , Amenorrhea/etiology , Arteriovenous Fistula/complications , Arteriovenous Fistula/therapy , Embolization, Therapeutic , Female , Humans , Hysterosalpingography , Magnetic Resonance Angiography , Magnetic Resonance Imaging , Prognosis , Puerperal Disorders/complications , Puerperal Disorders/therapy , Time Factors , Treatment Outcome , Ultrasonography, Doppler, ColorABSTRACT
US and MRI currently are the best imaging modalities to evaluate pathology of the uterine cervix and vagina. Carcinoma of the cervix is the most frequent indication for imaging. MRI allows preoperative staging of cervical carcinoma based on FIGO classification, and post treatment follow-up. Other uterine cervix diseases are less frequently imaged and include a wide range of entities that most frequently cause increased T2W signal at MR imaging. Pathology of the pelvic floor, vagina, vulva, and perineum also includes a wide range of entities that have seldom been described in the imaging literature.
