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Dissection of the Internal Carotid Artery After SCUBA-Diving: A Case Report and Review of the Literature

Hafner, Franz MD*; Gary, Thomas MD*; Harald, Froehlich MD*; Pilger, Ernst*; Groell, Reinhard PD; Brodmann, Marianne*

doi: 10.1097/NRL.0b013e3181e6a416
Case Report/Case Series

Introduction Dissections of the internal carotid arteries are a well known complication of cervical trauma. Neurologic symptoms in patients after SCUBA-diving are often associated with gas embolism or decompression illness.

Case Report This report presents a rare case of carotid artery dissection immediately after SCUBA-diving in a 37-year-old woman, with left-side facial paresthesias and left-cervical pain as the first symptoms after SCUBA-diving without rapid ascent to the water-surface.

Discussion A review of the literature focuses on symptoms, morphologic aspects, and therapeutic options in reported cases of cervical artery dissection after SCUBA-diving.

*Division of Angiology, Medical University Graz, Graz, Austria

CT and MRT Diagnostic-Center Graz, Graz, Austria

Reprints: Franz Hafner, MD, Division of Angiology, Medical University Graz, Auenbruggerplatz 15, 8036 Graz, Austria. e-mail:

© 2011 Lippincott Williams & Wilkins, Inc.