Internal carotid artery dissection

Case contributed by Anil Kumar Geetha Virupakshappa
Diagnosis certain

Presentation

10 days history of right sided headache.

Patient Data

Age: 45 years
Gender: Male

Circumferential T1 hyperintensity is seen as the right internal carotid artery passes along the superior surface of the foramen lacerum but does not traverse it.

Case Discussion

Internal carotid artery (ICA) dissection, like arterial dissection elsewhere, is a result of blood entering the media through a tear in the intima and is a common cause of stroke in younger patients.

High signal crescent sign indicating intramural hematoma is seen on T1, T2 and DWI images.

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