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Puppy sign indicating bilateral dissection of internal carotid artery
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  1. Berend Feddersen,
  2. Jennifer Linn,
  3. Thomas Klopstock
  1. Department of Neurology, University of Munich, Klinikum Grosshadern, Muenchen, Germany
  1. Berend.Feddersen{at}med.uni-muenchen.de

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A 66-year-old patient presented with marked headache. Neurological examination was unremarkable. Fat saturated T1 weighted magnetic resonance showed bilateral dissection of the extracranial internal carotid artery. …

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