• J Neuroimaging · Apr 2013

    Case Reports

    Focal common carotid artery intramural hematoma.

    • Aurélien Viaccoz and Fabienne Perren.
    • Division of Neurology, Department of Clinical Neurosciences, University Hospital and Medical Faculty of Geneva, Geneva, Switzerland.
    • J Neuroimaging. 2013 Apr 1;23(2):311-3.

    Background And PurposeIsolated focal common carotid artery dissection is a rare condition.Case ReportA 43-year-old healthy woman suffered for the first time from a transient episode of word-finding difficulties, which was associated with her typical migraine headaches. A month prior to this event she had suffered from a minor whiplash injury. On routine work-up we found an isolated focal left common carotid mural hematoma and tiny acute left posterior watershed lesions on diffusion weighted images.ConclusionFocal isolated common carotid artery dissection is a rare condition not to be overlooked. This case presents an incidental finding possibly of traumatic nature. In the presence of concomitant migraine its causal embolic relation to the transient word-finding difficulties must remain open.Copyright © 2011 by the American Society of Neuroimaging.

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