Internal carotid artery dissection

Case contributed by A.Prof Frank Gaillard


Right hemiplegia of over 24 hours duration.

Patient Data

Age: 60
Gender: Male

Patchy left hemispheric and left basal ganglia hypodensities.

Occluded left internal carotid artery with perhaps a faint crescent sign seen on fat saturated T1 images through the neck, although note the mimicking appearance of flow in the adjacent jugular and contralateral ICA. 

Case Discussion

Features are consistent with ICA dissection and infarction presumably from artery to artery embolism, rather than occlusion (patchy infarction, not in a watershed distribution). 

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Case information

rID: 13626
Published: 29th Apr 2011
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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