Triple spontaneous cervical artery dissection.
A 39-year-old healthy man had several transient ischaemic attacks suggesting left internal carotid artery (ICA) occlusion. There were no vascular risk factors and no preceding trauma. Colour-coded duplex sonography suggested a pseudo-occlusion of the left ICA, and cerebral angiography demonstrated dissection of the left ICA and both vertebral arteries. Angiography 6 months later was completely normal. This underlines the importance of four vessel angiography in young patients with dissections of cervical arteries.
Wunderlich
G
G
Department of Neurology, Heinrich-Heine-University Düsseldorf, Germany. gilbertw@neurologie.uni-duesseldorf.de
Neumann-Haefelin
T
T
Aulich
A
A
Steinmetz
H
H
D000328:Adult; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging; D020215:Carotid Artery, Internal, Dissection / Q000000981:diagnostic imaging*; D002533:Cerebral Angiography; D006801:Humans; D008297:Male