{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T07:25:04Z","timestamp":1791617104897,"version":"4.3.4"},"reference-count":27,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2000,3]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 Domestic violence leading to strangulation by an abusive spouse can cause carotid artery dissection. This phenomenon is rare and has been described in only three previous instances. The authors present their management strategies in three additional cases.<\/jats:p><jats:p content-type=\"fine-print\">Three young women aged 24 to 43 years were victims of manual strangulation committed by their spouses 3 months to 1 year before presentation. Two of the patients suffered delayed cerebral infarctions before presentation and angiography demonstrated focal, mirror-image severe residual stenoses in the high-cervical internal carotid artery (ICA), which were characteristic of a healed chronic dissection; there was no evidence of fibromuscular dysplasia. One of these patients underwent unilateral percutaneous angioplasty with stent placement, and the other underwent bilateral percutaneous angioplasty. Both patients have recovered from their strokes and remain clinically stable at 8 and 20 months posttreatment, respectively. The third patient presented with bilateral ischemic frontal watershed infarctions resulting from an occluded left ICA and a severely narrowed right ICA. Given the extent of the established infarctions, this case was managed with a long-term regimen of anticoagulation medications, and the patient remains neurologically impaired.<\/jats:p><jats:p content-type=\"fine-print\">These cases illustrate the susceptibility of the manually compressed ICA to traumatic injury as a result of domestic violence. They identify bilateral symmetrical ICA dissection as a consistent finding and the real danger of delayed stroke as a consequence of strangulation. Endovascular therapy in which percutaneous angioplasty and\/or stent placement are used can be useful in treating residual focal stenoses to improve cerebral perfusion and to lower the risk of embolic or ischemic stroke.<\/jats:p>","DOI":"10.3171\/jns.2000.92.3.0481","type":"journal-article","created":{"date-parts":[[2009,5,13]],"date-time":"2009-05-13T17:32:51Z","timestamp":1242235971000},"page":"481-487","source":"Crossref","is-referenced-by-count":86,"title":["Patient presentation, angiographic features, and treatment of strangulation-induced dissection of the internal carotid artery"],"prefix":"10.3171","volume":"92","author":[{"given":"Adel M.","family":"Malek","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Randall T.","family":"Higashida","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Van V.","family":"Halbach","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher F.","family":"Dowd","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Constantine C.","family":"Phatouros","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Todd E.","family":"Lempert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip M.","family":"Meyers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wade S.","family":"Smith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronald","family":"Stoney","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1227\/00006123-199107000-00015","article-title":"Cervicocranial arterial dissection.","volume":"29","author":"Anson","year":"1991"},{"key":"b2","series-title":"Herz","first-page":"27","article-title":"Anticoagulation and atrial fibrillation.","volume":"18","author":"Atwood","year":"1993"},{"key":"b3","series-title":"J Vasc Surg","doi-asserted-by":"publisher","first-page":"431","DOI":"10.1016\/0741-5214(92)90266-B","article-title":"Bilateral traumatic internal carotid artery dissections: case report.","volume":"15","author":"Ballard","year":"1992"},{"key":"b4","series-title":"Stroke","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1161\/01.STR.12.1.73","article-title":"Traumatic dissection of the internal carotid artery treated by ECIC anastomosis.","volume":"12","author":"Bergquist","year":"1981"},{"key":"b5","series-title":"JAMA","doi-asserted-by":"publisher","first-page":"1369","DOI":"10.1001\/jama.1997.03540410047029","article-title":"Characteristics of participants in domestic violence. Assessment at the scene of domestic assault.","volume":"277","author":"Brookoff","year":"1997"},{"key":"b6","series-title":"Arch Surg","doi-asserted-by":"publisher","first-page":"1294","DOI":"10.1001\/archsurg.1976.01360290128019","article-title":"Spontaneous dissection of the internal carotid artery.","volume":"111","author":"Ehrenfeld","year":"1976"},{"key":"b7","series-title":"N Engl J Med","doi-asserted-by":"publisher","first-page":"1431","DOI":"10.1056\/NEJM199405193302008","article-title":"The emerging concept of vascular remodeling.","volume":"330","author":"Gibbons","year":"1994"},{"key":"b8","series-title":"J Neurol Sci","doi-asserted-by":"publisher","first-page":"146","DOI":"10.1016\/S0022-510X(97)00287-6","article-title":"Internal carotid artery dissection: an update.","volume":"153","author":"Guillon","year":"1998"},{"key":"b9","series-title":"J Trauma","doi-asserted-by":"publisher","first-page":"456","DOI":"10.1097\/00005373-199603000-00024","article-title":"Whiplash injury associated with acute bilateral internal carotid arterial dissection.","volume":"40","author":"Janjua","year":"1996"},{"key":"b10","series-title":"Chest","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1378\/chest.109.1.57","article-title":"Impaired cardiopulmonary exercise capacity in patients with hyperthyroidism.","volume":"109","author":"Kahaly","year":"1996"},{"key":"b11","series-title":"Am J Emerg Med","doi-asserted-by":"publisher","first-page":"669","DOI":"10.1016\/S0735-6757(98)90172-3","article-title":"Bilateral internal carotid artery dissection from vomiting.","volume":"16","author":"Kumar","year":"1998"},{"key":"b12","series-title":"Stroke","doi-asserted-by":"publisher","first-page":"2646","DOI":"10.1161\/01.STR.29.12.2646","article-title":"Stroke patterns of internal carotid artery dissection in 40 patients.","volume":"29","author":"Lucas","year":"1998"},{"key":"b13","series-title":"Br Med J","doi-asserted-by":"publisher","first-page":"421","DOI":"10.1136\/bmj.281.6237.421","article-title":"Conjugal disharmony: a hitherto unrecognised cause of strokes.","volume":"281","author":"Milligan","year":"1980"},{"key":"b14","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"189","DOI":"10.3171\/jns.1988.68.2.0189","article-title":"Traumatic dissections of the extracranial internal carotid artery.","volume":"68","author":"Mokri","year":"1988"},{"key":"b15","series-title":"Ann Neurol","doi-asserted-by":"publisher","first-page":"126","DOI":"10.1002\/ana.410190204","article-title":"Spontaneous dissection of the cervical internal carotid artery.","volume":"19","author":"Mokri","year":"1986"},{"key":"b16","series-title":"Radiology","doi-asserted-by":"publisher","first-page":"571","DOI":"10.1148\/radiology.207.3.9609876","article-title":"Blunt carotid injury: a review.","volume":"207","author":"Mulloy","year":"1998"},{"key":"b17","series-title":"Ann Vasc Surg","doi-asserted-by":"publisher","first-page":"610","DOI":"10.1016\/S0890-5096(06)61451-9","article-title":"Blunt traumatic dissection of the internal carotid artery treated by balloon occlusion.","volume":"1","author":"Nordestgaard","year":"1987"},{"key":"b18","series-title":"Semin Arthritis Rheum","doi-asserted-by":"publisher","first-page":"124","DOI":"10.1016\/S0049-0172(98)80045-0","article-title":"Wegener's granulomatosis in a patient receiving propylthiouracil for Graves' disease.","volume":"28","author":"Pillinger","year":"1998"},{"key":"b19","series-title":"Stroke","doi-asserted-by":"publisher","first-page":"412","DOI":"10.1161\/01.STR.20.3.412","article-title":"Blunt traumatic carotid dissection with delayed symptoms.","volume":"20","author":"Pozzati","year":"1989"},{"key":"b20","series-title":"Surv Ophthalmol","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1016\/S0039-6257(97)00054-4","article-title":"Unilateral headache and ptosis in a 30-year-old woman.","volume":"42","author":"Purvin","year":"1997"},{"key":"b21","series-title":"Am J Emerg Med","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1016\/S0735-6757(98)90042-0","article-title":"Traumatic internal carotid artery dissections caused by blunt softball injuries.","volume":"16","author":"Schievink","year":"1998"},{"key":"b22","series-title":"Lancet","doi-asserted-by":"publisher","first-page":"452","DOI":"10.1016\/S0140-6736(94)92693-X","article-title":"\u03b11-antitrypsin deficiency in intracranial aneurysms and cervical artery dissection.","volume":"343","author":"Schievink","year":"1994"},{"key":"b23","series-title":"Stroke","doi-asserted-by":"publisher","first-page":"496","DOI":"10.1161\/01.STR.26.3.496","article-title":"Superior sagittal sinus thrombosis and thyrotoxicosis. Possible association in two cases.","volume":"26","author":"Siegert","year":"1995"},{"key":"b24","series-title":"Am J Cardiol","doi-asserted-by":"publisher","first-page":"929","DOI":"10.1016\/0002-9149(87)91056-3","article-title":"Rest and exercise left ventricular ejection fraction before and after therapy in young adults with hyperthyroidism and hypothyroidism.","volume":"60","author":"Smallridge","year":"1987"},{"key":"b25","series-title":"J Emerg Med","doi-asserted-by":"publisher","first-page":"169","DOI":"10.1016\/0736-4679(94)00138-3","article-title":"Traumatic bilateral carotid dissection.","volume":"13","author":"Storrow","year":"1995"},{"key":"b26","series-title":"J Neurol","doi-asserted-by":"publisher","first-page":"231","DOI":"10.1007\/BF00919596","article-title":"Spontaneous internal carotid artery dissection: early diagnosis and management in 44 patients.","volume":"242","author":"Sturzenegger","year":"1995"},{"key":"b27","series-title":"Thyroid","doi-asserted-by":"publisher","first-page":"625","DOI":"10.1089\/thy.1997.7.625","article-title":"Concurrence of Graves' disease and dysplastic cerebral blood vessels of the moyamoya variety.","volume":"7","author":"Tendler","year":"1997"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/92\/3\/article-p481.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/92\/3\/article-p481.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/92\/3\/article-p481.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,27]],"date-time":"2023-03-27T05:01:09Z","timestamp":1679893269000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/92\/3\/article-p481.xml"}},"subtitle":["Report of three cases"],"short-title":[],"issued":{"date-parts":[[2000,3]]},"references-count":27,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.3171\/jns.2000.92.3.0481","relation":{},"ISSN":["0022-3085"],"issn-type":[{"value":"0022-3085","type":"print"}],"subject":[],"published":{"date-parts":[[2000,3]]}}}