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Robert J. Wityk, MD

JAMA. 2001;285:2757-2762.

ABSTRACT
This article presents the case of a healthy 46-year-old man who experienced a dissection of the internal carotid artery. The diagnosis of this condition is not usually clear-cut, especially in a young patient with unremarkable medical history, and because of the similarity of symptoms with migraine. Often there is no obvious cause of a cerebral artery dissection, although subtle abnormalities of connective tissue may be present. Anticoagulation is generally used for therapy, but clinical trials are lacking. Carotid artery dissection should be considered as a cause of stroke in young healthy adults.

Author Affiliations: Cerebrovascular Division, Johns Hopkins University School of Medicine, Baltimore, Md.

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June 6, 2001
JAMA. 2001;285(21):2793-2794.
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