J Med Assoc Thai 1997; 80 (6):406

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Spontaneous Corotid Dissection
lsrasena N Mail, Phanthumchinda K , Sinsawaiwong S , Lerdlum S

Spontaneous internal carotid dissection typically occurs in young or middle-aged patients.
It is associated with a high rate of recovery and low mortality. Anticoagulant and antiplatelet drugs
fail to demonstrate a significant improvement when compared with placebo. A 38 year-old woman
with spontaneous dissection of the internal carotid artery diagnosed by MRI is reported. She had an
excellent recovery without treatment and no recurrent attack occurred after one year of follow-up.
The clinical manifestations, diagnostic tests and treatment of spontaneous internal carotid disection
are briefly reviewed in this communication.

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