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  • Title: Infection-associated cervical artery dissection. Three cases.
    Author: Grau AJ, Brandt T, Forsting M, Winter R, Hacke W.
    Journal: Stroke; 1997 Feb; 28(2):453-5. PubMed ID: 9040705.
    Abstract:
    BACKGROUND: The pathogenesis of cervical artery dissection remains unknown. Infection-mediated damage of the arterial wall may be one contributing mechanism. We present three male patients with respiratory infection prior to cervical artery dissection. CASE DESCRIPTIONS: Case 1: During an upper respiratory tract infection, a 49-year-old patient developed bilateral carotid and vertebral artery dissection with complete vessel restitution. Case 2: Within 3 years, a 40-year-old patient experienced two episodes of bilateral internal carotid artery dissection, both preceded by febrile upper respiratory tract infection. Case 3: A 52-year-old patient developed right-sided and, 2 years later, left-sided internal carotid artery dissection, each following upper respiratory tract infection. CONCLUSIONS: Infection may be a trigger factor in the pathogenesis of cervical artery dissection.
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