Isolated internal carotid artery dissection in a long-distance runner

Krzysztof Wachal; Paweł Koczewski; Marcin Gabriel; Wojciech Kociemba

doi:10.5114/wiitm.2016.64449

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abstract:

Case report

Isolated internal carotid artery dissection in a long-distance runner

Krzysztof Wachal

,

Paweł Koczewski

,

Marcin Gabriel

,

Wojciech Kociemba

Videosurgery Miniinv 2016; 11 (4): 304–308

DOI: https://doi.org/10.5114/wiitm.2016.64449

Online publish date: 2016/12/06

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We present a case of internal carotid artery dissection (ICAD) in the precranial segment, which caused binocular visual impairment in a 49-year-old man during a marathon race. The incident lasted 3 hours, after which the symptoms resolved. Imaging tests showed internal carotid artery dissection. No ophthalmologic changes were identified. After 6 weeks of ineffective non-invasive treatment the patient underwent vascular surgery – stent implantation into the damaged artery. Detailed diagnostic tests and adequate treatment allowed us to achieve a good clinical result. Upon the suspicion of ICAD it is recommended to extend standard Doppler ultrasound performed with a linear transducer and evaluate the proximal segment of the internal carotid artery with a curved transducer as well.

keywords:

Isolated internal carotid artery dissection in a long-distance runner

Krzysztof Wachal , Paweł Koczewski , Marcin Gabriel , Wojciech Kociemba

long-distance running, marathon, binocular visual impairment, vascular angioplasty, carotid artery dissection

Krzysztof Wachal

,

Paweł Koczewski

,

Marcin Gabriel

,

Wojciech Kociemba