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from 8 - Other Non-inflammatory Vasculopathies
Published online by Cambridge University Press: 06 October 2022
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
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