Internal carotid artery dissection

Case contributed by Ammar Haouimi
Diagnosis certain

Presentation

Left-sided Horner's syndrome.

Patient Data

Age: 35 years
Gender: Male

There is a high signal T1 fat sat crescent sign within the wall of the cervical and petrous segments of the left internal carotid artery. The true and false lumen are well-visualized on the 3D-TOF MRA source images.

No evidence of subarachnoid or intraventricular hemorrhage. Normal size and configuration of the ventricular system.

Case Discussion

MRI appearance typical internal carotid artery dissection with a large crescent sign in a patient with a left-sided Horner's syndrome.

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