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Stroke, Vol 20, 1100-1103, Copyright © 1989 by American Heart Association

ARTICLES

Spontaneous intracranial carotid artery dissection

MS Pessin, LS Adelman and NR Barbas
Department of Neurology, Tufts University School of Medicine, Boston, Massachusetts.

A previously healthy 46-year-old woman had the abrupt onset of aphasia and right hemiplegia from a large left-hemisphere infarct. At postmortem examination the cause of the infarct was dissection and occlusion of the intracranial carotid artery. No preexisting abnormality was found to account for the dissection. This uncommon cause of stroke and its pathogenesis are discussed.

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