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Updated: Feb 26, 2026

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A Rat Carotid Artery Pressure-Controlled Segmental Balloon Injury with Periadventitial Therapeutic Application
Published on: July 9, 2020
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Spontaneous carotid dissection.
Carolina Dutra Queiroz Flumignan1, Ronald Luiz Gomes Flumignan2, Luis Carlos Uta Nakano2
1MD, Research Physician, Escola Paulista de Medicina da Universidade Federal de São Paulo (EPM-Unifesp), São Paulo, SP, Brazil.
Summary
Carotid dissection, a rare cause of stroke in young adults, presents unique diagnostic challenges. This case highlights successful management based on current evidence, leading to a positive patient outcome.
Area of Science:
- Neurology
- Vascular Medicine
- Diagnostic Imaging
Background:
- Carotid dissection is a significant cause of ischemic stroke in young adults under 45.
- It accounts for a substantial proportion of strokes in this demographic.
- Prompt diagnosis and evidence-based treatment are crucial for favorable outcomes.
Observation:
- A case of carotid dissection presented with characteristic "yin-yang" sign on vascular ultrasound.
- The "yin-yang" sign is a specific sonographic finding suggestive of turbulent flow within a dissection.
Findings:
- The patient received treatment aligned with the best available medical evidence for carotid dissection.
- The chosen therapeutic strategy resulted in a favorable clinical outcome.
Implications:
- This case underscores the importance of recognizing the "yin-yang" sign in vascular ultrasound for diagnosing carotid dissection.
- Effective management of carotid dissection can prevent long-term neurological deficits in young stroke patients.
- Further research into optimal treatment protocols for carotid dissection is warranted.

