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Chapter 8.4 - Carotid Artery Dissection
from 8 - Other Non-inflammatory Vasculopathies
- By Füsun Mayda Domaç, Mustafa Ülker
Edited by Derya Uluduz, Istanbul Üniversitesi
Anita Arsovska
Book:

Rare Causes of Stroke

Published online:

06 October 2022

Print publication:

01 September 2022, pp 326-330
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Summary

Carotid dissection is found to be as high as 20% in stroke patients younger than 30 years of age. The most common presenting symptom (80-90%) is unilateral headache at the same side of the arterial dissection. We present a 17 year-old male that was admitted to the emergency department with a headache. Bilateral carotid ultrasound with color doppler was suspicious of right carotid artery dissection at the cervical segment, so digital substraction angiography was performed to verify the dissection. On digital substraction angiography, right internal carotid artery was found to thin out and go out of existence at 2-3 cm proximal of the bulbar segment that was compatible with dissection