Internal carotid artery dissection

Case contributed by Dr Devanshi Dharaiya


He was seen by the chiropractor and underwent cervical manipulation. Next day patient noticed he had difficulty swallowing and his voice sounded hoarse. On exam he had miosis of his left pupil and left sided ptosis.

Patient Data

Age: 50
Gender: Male

MRI T1 with fat suppression: Area of semilunar hyperintensity around Left Internal Carotid artery due to Methemoglobin, consistent with Internal Carotid dissection.

Case Discussion

Patient was managed with aspirin therapy and follow up imaging 3 months later.

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Case information

rID: 30889
Published: 8th Sep 2014
Last edited: 9th Jan 2016
Inclusion in quiz mode: Included

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