Left, Then Right Internal Carotid Artery Dissection: A Case Report.

Area of Science:

• Neurology
• Vascular Surgery

Background:

• A unique case of spontaneous internal carotid artery dissection (ICAD) presenting with stroke-like symptoms.
• Initial presentation involved a left-sided ICAD successfully treated with thrombectomy.

Observation:

• The patient subsequently developed contralateral symptoms due to a right-sided ICAD.
• A second, contralateral thrombectomy was performed to manage the new symptoms.
• Hypotension was noted, potentially due to bilateral carotid baroreceptor trauma.

Findings:

• Bilateral ICAD is a rare complication following initial dissection and treatment.
• Close neurological monitoring is essential during and after interventions like thrombectomy.
• Artificial intelligence (AI) software can expedite the indication for thrombectomy.

Implications:

• This case underscores the critical need for vigilant neurological monitoring in a specialized setting post-intervention.
• Timely identification of contralateral symptoms significantly impacts patient outcomes.
• AI in neuroimaging holds promise for improving the speed and accuracy of stroke treatment decisions.