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Related Experiment Videos

Bilateral spontaneous carotid artery dissection.

Bradley Scott Townend1, Laura Traves, Denis Crimmins

  • 1Neurology Department, Gosford Hospital, NSW, Australia. btownend@doh.health.nsw.gov.au

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
|July 30, 2005
PubMed
Summary

Spontaneous bilateral carotid artery dissections are rare but can cause stroke. Consider this condition in young patients with unexplained head and neck pain and neurological symptoms.

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Area of Science:

  • Neurology
  • Vascular Surgery

Background:

  • Bilateral internal carotid artery dissections (ICAD) are uncommon.
  • ICAD can manifest with diverse symptoms, from headache to stroke.

Observation:

  • Two rare cases of spontaneous bilateral ICAD are presented.
  • One case involved headache with minimal symptoms; the other presented with stroke syndrome.

Findings:

  • No underlying cause was identified for the dissections, confirming their spontaneous nature.
  • These cases highlight the variability in presentation for spontaneous bilateral ICAD.

Implications:

  • Bilateral ICAD should be suspected in young individuals with unexplained head/neck pain and neurological deficits.
  • Increased use of advanced imaging can improve the diagnostic index for this condition.

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