Traumatic internal carotid artery dissection

Case contributed by Dr Dalia Ibrahim

Presentation

MVA, right sided hemiplegia.

Patient Data

Age: 30
Gender: Female
Modality: CT

Day 1: Hyperdense left intracranial ICA (cavernous and supraclinoid portions) & middle cerebral arteries.

18 Hours later: Large hypodense acute infarction in a left  MCA distribution.

Day 2:Increased edema,hypodensity and  mass effect of the infarction.

Modality: MRI

MRA: Occluded left internal carotid artery & collateral refilling of the left anterior cerebral artery via the ACOM.

Left MCA territory infraction showing diffusion restriction,

Note loss of signal void of the petrous, cavernous and supraclinoid portions of the left internal carotid artery.

Modality: CT

Tapered occlusion of the proximal left internal carotid artery shortly after the carotid bifurcation. 

Collateral refilling of the left anterior and middle cerebral arteries via circle of Willis.

PlayAdd to Share

Case Information

rID: 29541
Case created: 3rd Jun 2014
Last edited: 21st Jun 2016
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.