Dissection of the main arteries of the brain: etiology, clinic, diagnosis and treatment

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Abstract

Dissection of the internal carotid and vertebral arteries is the leading cause of ischemic stroke at a young age. It is a rupture of the intima of the artery with the formation of an intrahepatic (intramural) hematoma, leading to stenosis or occlusion of its lumen. The article describes the epidemiology, etiology, pathogenesis, and clinical picture of extracranial artery dissection. The paper presents modern principles of treatment of this pathology.

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About the authors

A. Yarikov

Volga District Medical Center, Federal Biomedical Agency of Russia; City Clinical Hospital Thirty-Nine; Central Primary Healthcare Unit Fifty, Federal Biomedical Agency of Russia; National Research Lobachevsky State University of Nizhny Novgorod; Arzamas Central City Hospital

Author for correspondence.
Email: anton-yarikov@mail.ru

Candidate of Medical Sciences

Russian Federation, Nizhny Novgorod; Nizhny Novgorod; Sarov; Nizhny Novgorod; Arzamas

I. Smirnov

City Clinical Hospital Thirty-Nine

Email: anton-yarikov@mail.ru
Russian Federation, Nizhny Novgorod

A. Shigorina

Lyskovo Central District Hospital

Email: anton-yarikov@mail.ru
Russian Federation, Lyskovo, Nizhny Novgorod Region

I. Zaletova

Lyskovo Central District Hospital

Email: anton-yarikov@mail.ru
Russian Federation, Lyskovo, Nizhny Novgorod Region

A. Zolnikova

Lyskovo Central District Hospital

Email: anton-yarikov@mail.ru
Russian Federation, Lyskovo, Nizhny Novgorod Region

V. Sharova

Lyskovo Central District Hospital

Email: anton-yarikov@mail.ru
Russian Federation, Lyskovo, Nizhny Novgorod Region

V. Levshakov

Central Primary Healthcare Unit Fifty, Federal Biomedical Agency of Russia

Email: anton-yarikov@mail.ru
Russian Federation, Sarov

N. Abramychev

Semenov Central District Hospital

Email: anton-yarikov@mail.ru
Russian Federation, Semenov, Nizhny Novgorod Region

A. Fraerman

City Clinical Hospital Thirty-Nine

Email: anton-yarikov@mail.ru

MD; Professor

Russian Federation, Nizhny Novgorod

V. Lyutikov

Federal State-Financed Institution Federal Siberian Research Clinical Centre, Federal Medical Biological Agency

Email: anton-yarikov@mail.ru

MD; Professor

Russian Federation, Krasnoyarsk

A. Kletskin

Federal State-Financed Institution Federal Siberian Research Clinical Centre, Federal Medical Biological Agency

Email: anton-yarikov@mail.ru

MD; Professor

Russian Federation, Krasnoyarsk

O. Perlmutter

City Clinical Hospital Thirty-Nine

Email: anton-yarikov@mail.ru

MD; Professor

Russian Federation, Nizhny Novgorod

I. Barchenkova

Vyksa Central District Hospital

Email: anton-yarikov@mail.ru
Russian Federation, Vyksa, Nizhny Novgorod Region

N. Zaitseva

Vyksa Central District Hospital

Email: anton-yarikov@mail.ru
Russian Federation, Vyksa, Nizhny Novgorod Region

L. Zaglyadnova

Vyksa Central District Hospital

Email: anton-yarikov@mail.ru
Russian Federation, Vyksa, Nizhny Novgorod Region

O. Kvasnevskaya

Vyksa Central District Hospital

Email: anton-yarikov@mail.ru
Russian Federation, Vyksa, Nizhny Novgorod Region

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