Presentation
Repeated left sided weakness.
Patient Data
Age: Elderly
Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.
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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.
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Although the lumen has improved, a flap is now visible.