Spontaneous carotid artery dissection is an important cause of ischemic stroke and is most common in young and middle-aged adult patients. Dissection occurs after tearing of the intima layer of the artery causes the formation of a thrombus (intramural), and it leads to thrombosis or embolism. The thrombosis or embolism, in turn, interrupts arterial circulation and, subsequently, induces infarction in the territory of the affected artery. The case of an ischemic vascular event involving the left cerebral hemisphere secondary to a spontaneous dissection of the left internal carotid artery is presented here.
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Paredes et al. (2024) studied this question.
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