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Updated: Jul 6, 2026

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
Bilateral carotid and bilateral vertebral artery dissection following facial massage
Andrea L Chakrapani1, Walter Zink, Robert Zimmerman
1Department of Radiology, Weill Medical College of Cornell University, New York Presbyterian Hospital, New York 10021, USA. laueran@ohsu.edu
Abstract:
A 50-year-old woman underwent facial massage. After 13 days, she experienced left retro-orbital pain, ptosis, and miosis. Magnetic resonance imaging (MRI) showed stenotic dissection of bilateral cervical internal carotid and vertebral arteries. The intracranial vasculature was intact. She was treated conservatively with long-term oral anticoagulation and remains asymptomatic 18 months later.
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