Post-Cough Dissection of Carotid Artery: Case with Fibromuscular Dysplasia

Abstract

Dissection of the internal carotid artery due to fibromuscular dysplasia is a rare cause of transient ischemic attack in young patients. Usually, the diagnosis of fibromuscular dysplasia is usually based on conventional and/or magnetic resonance angiography. A 44- years-old female patient presented with transient ischemic attack after severe cough caused by acute laryngitis. Magnetic resonance imaging disclosed subacute left temporal infarction and dissection of the internal carotid artery. Carotid angiography demonstrated the dissection of the internal carotid artery and a “string of beads” appearance confirming fibromuscular dysplasia. The case was is reported because of the unique features

Keywords

• Internal carotid artery dissection
• fibromuscular dysplasia