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ICA dissection with follow-up

Case contributed by Assoc Prof Frank Gaillard

Presentation

Repeated left sided weakness.

Patient Data

Age: Elderly
CT

CTA

Axial image demonstrates poor opacification of the right internal carotid artery. Sagittal CTA demonstrates an almost complete occlusion at the apex of a loop of the ICA at the level of C1, consistent with a dissection. 

CT

CTA 3 days later

Although the lumen has improved, a flap is now visible. 

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Case information

rID: 5319
Published: 2nd Jan 2009
Last edited: 13th Aug 2019
Inclusion in quiz mode: Included

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