ICA dissection with follow-up

Case contributed by Frank Gaillard
Diagnosis certain

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.

CTA

ct

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. 

CTA 3 days later

ct

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

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