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Carotid artery dissection: a case of recurrence
  1. Pratiksha Srinivas,
  2. Joel Nwosu,
  3. Aloaye Foy-Yamah and
  4. Clement Okiemute Ejohwomu
  1. Internal Medicine, Blackpool Teaching Hospitals NHS Foundation Trust, Blackpool, UK
  1. Correspondence to Dr Pratiksha Srinivas; pratiksha.srinivas{at}


A 53-year-old healthy man with history of left internal carotid artery dissection in 2006 presented with right-sided facial pain with paraesthesia associated with taste and speech disturbances. A CT angiogram was done without further delay considering the patient’s history of dissection, and revealed a non-occlusive right-sided internal carotid artery dissection at the skull base level. The neurologist, neurosurgeons and stroke team were involved in the care, and the patient was immediately moved to a tertiary hospital for further intervention. Brain MRI and magnetic resonance angiography did not reveal further progression of the dissection and the patient was therefore medically managed.

  • radiology (diagnostics)
  • cranial nerves
  • headache (including migraines)
  • neuroimaging
  • neurology

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  • Contributors PS wrote the case report under the guidance of JN. All research and evidence pertaining to the case were obtained by PS. The final report was checked and approved by FY and COE.

  • 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.

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