Therapeutic Choice for the Treatment of Subcranial Positioned Bilateral Kinking of Internal Carotid Artery With Dissection: Case ReportBabic, Srdjan MD; Radak, Djordje MD, PhD; Tanaskovic, Slobodan MD; Ilijevski, Nenad MD, PhDNeurosurgery Quarterly: May 2011 - Volume 21 - Issue 2 - p 125–127 doi: 10.1097/WNQ.0b013e31820f1981 Original Articles Buy Abstract Author InformationAuthors Article MetricsMetrics 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: email@example.com). © 2011 Lippincott Williams & Wilkins, Inc.