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Case Reports
. 2023 Jan 18;2023(1):omac076.
doi: 10.1093/omcr/omac076. eCollection 2023 Jan.

Collateral damage: a case report of vertebral artery dissection and stroke in the young with persistent primitive trigeminal artery

Kymmi S Caesar  1 , Dale A Maharaj  1 , Anil Ramlakhansingh  1 , Alexander Sinanan  1 , Richard Ramsingh  1
Affiliations
Case Reports

Collateral damage: a case report of vertebral artery dissection and stroke in the young with persistent primitive trigeminal artery

Kymmi S Caesar et al. Oxf Med Case Reports. .

Abstract

Stroke in the young is an uncommon condition resulting in significant morbidity and as result trammels the integrity of healthcare systems [1]. We present an unusual case of a 37-year-old male presenting with neurologic signs of right parietal lobe infarction with evidence of vertebral artery dissection and persistent carotid-vertebrobasilar anastomosis as a conduit for thromboembolism.

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Figures

Figure 1
Figure 1
Axial DWI MRI showing hyperintensity in right parietal lobe adjacent to sylvian fissure.
Figure 2
Figure 2
(A) axial 3D-TOF MRI showing ‘crescent sign’ or dissection of left vertebral artery. (B) Sagittal highlight of major intracranial vessels and associated PPTA.
Figure 3
Figure 3
MRA showing presumed path of embolism from vertebral artery through PPTA to right ICA to right MCA.
See this image and copyright information in PMC

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References

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