An internal carotid artery dissection initially presenting with reversible ischemic neurological deficits: A case report

Shunichi Harada, Takafumi Kaito, Shuei Imizu, Shinya Nagahisa, Motoharu Hayakawa, Tetsuo Kanno

Research output: Contribution to journalArticlepeer-review

Abstract

A 29-year-old man presented with a sudden motor weakness on the left hand, foot and face during sexual intercourse. A diffusion weighted MRI image revealed a high intensity spot on the right basal ganglia. A cerebral angiogram and three dimensional computed tomography of the cerebral artery demonstrated a marked stenosis and an intimal flap on the supraclinoid portion of the right internal carotid artery. He fully recovered and received antiplatelet drug medication without recurrence. Dissection of the internal carotid artery (ICA) is very rare, especially in the intracranial portion of the ICA, and in this case, collateral supply from the left internal carotid artery to the right hemisphere was sufficient to prevent neurological deficits.

Original languageEnglish
Pages (from-to)45-49
Number of pages5
JournalJapanese Journal of Neurosurgery
Volume14
Issue number1
DOIs
Publication statusPublished - 01-2005

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

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