Spontaneous dissection of bilateral internal carotid and vertebral arteries

Internal carotid artery and bilateral vertebral arteries dissections associated with amphetamine abuse: Case report

Arterial dissection is an important cause of stroke in young patients. Various factors influencing arterial dissection included amphetamine abuse and anterior circulation is the majority of stroke locations. We reported the Case of a 40-year-old male patient with chronic amphetamine used since childhood. He had increased the consumption from once a month to every other day in the last year. The patient suffered from acute left-side hemiparesis and neglect. Computed tomography angiography of the brain and neck vessels demonstrated non-atheromatous vasculopathy with a suspected dissection process of the right internal carotid artery and bilateral vertebral arteries. A review of recent data is also provided to clarify the possible mechanism.

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Arterial dissection is one of the most common causes of stroke in young-adults.

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Dissection of both anterior and posterior cerebral circulations is extremely rare.

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Amphetamine abuse has been described as a potential cause of arterial dissection.

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Drug abuse screening should be performed in stroke in the young presuming dissection.