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Therapeutic Choice for the Treatment of Subcranial Positioned Bilateral Kinking of Internal Carotid Artery With Dissection: Case Report

Babic, Srdjan MD; Radak, Djordje MD, PhD; Tanaskovic, Slobodan MD; Ilijevski, Nenad MD, PhD

doi: 10.1097/WNQ.0b013e31820f1981
Original Articles

Dissection of internal carotid artery (ICA) is a relatively uncommon cause of stroke in general population, but is relatively common in patients under the age of 40 years. Pathologic elongation (kinking and/or coiling) of ICA is a predisposing factor for dissection. Most studies report unilateral kinking with dissection. Surgical approach for high lesions can result in peripheral nerve injury in 25% patients. Without pseudoaneurysm formation, antiplatelet and anticoagulant therapy remains a treatment of choice. We present a 54-year-old man with computed tomographic angiography verified subcranial positioned bilateral kinking of ICA with dissection, treated with antiplatelet and anticoagulant therapy. Examinations after 1, 3, and 6 months were uneventful, with unchanged duplex scan findings and no symptoms.

Department of Vascular surgery, Institute for cardiovascular disease “Dedinje,” Belgrade, Serbia

Reprints: Srdjan Babic, MD, Institute for Cardiovascular disease “Dedinje,” Milana Tepica 1, Belgrade, Serbia (e-mail:

© 2011 Lippincott Williams & Wilkins, Inc.