Clinical Misdiagnosis and Missed Diagnosis Analysis of Cervical Artery Dissection
LIU Yong-fei
ZHAO Gui-feng
WANG Jia-nan
KANG Wei-min
YAN Bin
LIU Jia
REN Dan-dan
LIU Fu-you
HOU Bei
JIANG Wei-jian
Abstract：Objective To discuss the current treatment method of cervical artery dissection ( CeAD) and to analyze the cause of misdiagnosis and missed diagnosis and preventive measures for atypical CeAD. Methods Clinical data of two pa-tients misdiagnosed and missed diagnosis with atypical CeAD were retrospectively analyzed in our hospital. Results One pa-tient suffered stiffness in the left limbs and blind in the left eye for 3 hours due to sudden neck sprain for 48 hours. The other presented with weakness in the left limbs and a headache for 6 hours. In the early stage, patients had been initially misdiag-nosed with cervical spondylosis and cervical hemorrhage respectively, and one patient missed diagnosis. Both were diagnosed with CeAD by computer tomographic angiography ( CTA) upon admission. One patient was treated with anticoagulation, anti-platelet theray and neurophic treatment. The other received only neurophic treatment. Both the patients turned for the better and were discharged. Conclusion Clinical manifestation of CeAD is complex, changeable, and lacks specificity, prone to misdiagnosis and missed diagnosis for the first visit. Improving awareness for CeAD, careful inquiry and physical examination, and divergent diagnostic thinking may contribute to increasing early diagnostic rate of CeAD and improving prognosis of CeAD patients.
Keywords：AneurysmdissectingMisdiagnosisMissed diagnosisCervical spondylosisBrain infarction
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 1-4 )