Why antiplatelet treatment in spontaneous internal carotid dissection?

Pain as an alarm signal in cervical carotid dissection: report of a case with catastrophic evolution

Background Cervical carotid dissection is a commonly reported arteriopathy and is associated with stroke in young, healthy patients. Case report The authors present a case of a woman with pain of recent onset secondary to a dissection of the cervical segment of the carotid artery on the same side and that evolved with stroke. Conclusion The diagnosis of arterial dissection is based on clinical suspicion and angiographic images of the encephalic vessels.

Black as night

A 30-year-old man presented with painless total visual loss in the right eye. Fundus exam and imaging was consistent with total internal carotid artery occlusion and hemispheric stroke. The presentation and management options of retinal vascular occlusive disease in association with asymptomatic stroke are discussed.