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A 56-year-old man presented with acute onset of right hemiparesis with fluctuating course accompanied by pain on the head and neck. The symptoms began after carrying heavy bags. Carotid artery dissection represents an important cause of ischaemic stroke in young and middle-aged patients accounting for 10–25% of such cases. Although dissections affect all age groups, there is a distinct peak in the fifth decade of life, with no gender-based differences. Dissection of the internal carotid artery can occur intracranially or extracranially, with the latter being more frequent due to its greater mobility and the potential for it to be injured. Internal carotid artery dissection can be caused by major or minor trauma, or it can be spontaneous, in which case, genetic, familial, and/or heritable disorders are likely aetiologies.
KeywordsInternal Carotid Artery Digital Subtraction Angiography Posterior Reversible Encephalopathy Syndrome Moyamoya Disease Cerebral Venous Thrombosis
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