Wunderlich G, Neumann-Haefelin T, Aulich A, Steinmetz H
Department of Neurology, Heinrich-Heine-University Düsseldorf, Germany.
Neuroradiology. 1999 Jun;41(6):433-5. doi: 10.1007/s002340050778.
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.
