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A 24 year-old woman presented with right neck pain and a right Horner's syndrome after a mild motor vehicle accident. Otherwise her neurologic examination was normal.
Magnetic Resonance Angiogram - Both Carotid Arteries - note the "string sign" of the right internal carotid, compared to the normal image of the left internal carotid artery. Although not specific for dissection, this pattern is highly suggestive.
Revised
05/19/06.
The Electronic Curriculum is copyrighted 1998, Case Western Reserve University
School of Medicine.