Unusual presentation of bilateral carotid artery dissection: the importance of reasoning outside the box

A bilateral internal carotid artery dissection presenting with atypical symptoms of cerebral hypoperfusion has been rarely reported, especially in the absence of obvious precipitating factors.A middle-aged woman presented to the emergency department with a 2-day-history of progressive left arm numbness and weakness, confusion, disorientation and clumsiness worsened by upright position. A cerebral hypoperfusion condition was hypothesized and confirmed by a CT angiography, which showed bilateral internal carotid dissection with uncertain aetiology.

Source: Annals of Vascular Surgery - February 5, 2021 Category: Surgery Authors: Marianna Gabriella Rispoli, Vincenzo Di Stefano, Paola Ajdinaj, Marco Onofrj, Maria Vittoria De Angelis Source Type: research