Zeid M. Keilani, MD, John D. Berne, MD, Mouchammed Agko, MD

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Presentation transcript:

Bilateral internal carotid and vertebral artery dissection after a horse-riding injury Zeid M. Keilani, MD, John D. Berne, MD, Mouchammed Agko, MD Journal of Vascular Surgery Volume 52, Issue 4, Pages 1052-1057 (October 2010) DOI: 10.1016/j.jvs.2010.05.065 Copyright © 2010 Terms and Conditions

Fig 1 A computed tomography angiography (CTA) of the neck demonstrates (a) a small dissection of the proximal left vertebral artery (close-up in inset) and (b) dissection of the left internal carotid artery just above the bifurcation extending toward the base of the neck (close-up in inset). Journal of Vascular Surgery 2010 52, 1052-1057DOI: (10.1016/j.jvs.2010.05.065) Copyright © 2010 Terms and Conditions

Fig 2 Magnetic resonance imaging of the brain shows multiple areas of ischemic stroke in the left (a) frontal and (b) occipital lobes, and in the left (c) cerebellar hemisphere. Journal of Vascular Surgery 2010 52, 1052-1057DOI: (10.1016/j.jvs.2010.05.065) Copyright © 2010 Terms and Conditions

Fig 3 A four-vessel neck arteriogram demonstrates (a) a small pseudoaneurysm of the proximal right vertebral artery and (b) a small pseudoaneurysm with minimal areas of narrowing of the proximal left vertebral artery. Journal of Vascular Surgery 2010 52, 1052-1057DOI: (10.1016/j.jvs.2010.05.065) Copyright © 2010 Terms and Conditions

Fig 4 A four-vessel neck arteriogram demonstrates (a) a long segment of spiral dissection and pseudoaneurysm of the left internal carotid artery and (b) stenting of the left internal carotid artery with good flow. Journal of Vascular Surgery 2010 52, 1052-1057DOI: (10.1016/j.jvs.2010.05.065) Copyright © 2010 Terms and Conditions

Fig 5 Four-vessel neck arteriogram demonstrates (a) a long segment dissection of the right internal carotid artery and (b) stenting of the right internal carotid artery with good flow. Journal of Vascular Surgery 2010 52, 1052-1057DOI: (10.1016/j.jvs.2010.05.065) Copyright © 2010 Terms and Conditions