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Case Reports
. 2006 Jun-Jul;27(6):1241-4.

Basilar and bilateral carotid dolichoectasia with spontaneous dissection of C2 segment of the internal carotid artery

Affiliations
Case Reports

Basilar and bilateral carotid dolichoectasia with spontaneous dissection of C2 segment of the internal carotid artery

L Borota et al. AJNR Am J Neuroradiol. 2006 Jun-Jul.

Abstract

We describe a previously unreported case of cranial arterial dolichoectasia associated with spontaneous dissection of the petrous (C2) segment of the internal carotid artery (ICA) with 2 patent lumena. Dolichoectasia of the cranial arteries and different types of double lumen of ICA are discussed. A review of previously reported cases is included.

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Figures

Fig 1.
Fig 1.
A, nonenhanced computerized tomography showing left-sided ganglionic bleeding with penetration of the blood into the left lateral ventricle. B and C, contrast-enhanced computerized tomography (CECT) showing supraclionoid segments of both internal carotid arteries and tortuous and dilated basilar artery. D, CECT, bone window shows symmetrical and normally shaped carotid channels within hyperaerated petrous bones.
Fig 2.
Fig 2.
Angiogram of the left internal carotid artery, left anterior oblique projection showing double lumen of C2 segment of the internal carotid artery. Note the smooth contours of slightly dilated vascular channels (arrow) and fusiform dilation of the supraclinoid segment of the internal carotid artery (small arrow).
Fig 3.
Fig 3.
Angiogram of the right internal carotid artery, anteroposterior (AP) projection, shows symmetric fusiform dilation of the supraclinoid segment of the right internal carotid artery.
Fig 4.
Fig 4.
Angiogram of the basilar artery, AP projection, shows moderately dilated distal segment of the left vertebral artery as well as dilated and extremely tortuous basilar artery.

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