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Triple spontaneous cervical artery dissection
Authors:G Wunderlich  T Neumann-Haefelin  A Aulich  H Steinmetz
Institution:(1) Department of Neurology, Heinrich-Heine-University Düsseldorf, P. O. Box 101 007, D-40001 Düsseldorf, Germany, e-mail: gilbertw@neurologie, uni-duesseldorf.de, Tel.: + 49-2 11-8 11 70 38, Fax: + 49-2 11-8 11 70 38, DE;(2) Department Diagnostic Radiology, Heinrich-Heine-University Düsseldorf, Germany, DE;(3) Department of Neurology, Johann Wolfgang Goethe University, Frankfurt, Germany, DE
Abstract: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. Received: 27 August 1998 Accepted: 13 November 1998
Keywords:Dissection  internal carotid artery  vertebral artery
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