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Case report
Spontaneous dissection of bilateral internal carotid and vertebral arteries
  1. Amr Ewida1,
  2. Rashid Ahmed1,
  3. Anqi Luo2 and
  4. Hesham Masoud1
  1. 1Neurology, SUNY Upstate Medical University, Syracuse, New York, USA
  2. 2Neurology, UTHealth, Houston, Texas, USA
  1. Correspondence to Dr Amr Ewida; EwidaA{at}upstate.edu

Abstract

Spontaneous dissection of the major arteries of the neck is known to increase the risk of stroke or transient ischaemic attack in young and middle-aged adults. Most of the reported cases of arterial dissections in the neck involve one or both paired extracranial carotid or vertebral arteries. Spontaneous dissection of the bilateral internal carotid and vertebral arteries is extremely rare. We report a case of spontaneous bilateral internal carotid artery and vertebral artery dissection while using a prescribed pill for weight loss which contained amphetamine derivative. A review of literature is also provided.

  • neurology
  • neuroimaging
  • interventional radiology
  • neurosurgery

https://doi.org/10.1136/bcr-2020-241173

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    Footnotes

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    • Contributors AE was involved in the care of the patient and drafted the initial manuscript. RA performed the literature review and formatted the manuscript and images of the case report. AL was involved in the initial write-up of the manuscript and literature review. HM was involved in the care of the patient and the critical revision of the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.