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Intracranial Internal Carotid Artery Dissection Caused Acute Ischemic Stroke in an Old Person: Case Report and Literature Review

Lillian Tsao1, Cheng-Han Chiang1, Lung Chan2, Yueh-Hsun Lu1, Wei-Yi Ting1*

Carotid Artery Dissection (CAD) is an uncommon cause of Acute Ischemic Stroke (AIS) in the elderly. Inadequate management might cause deterioration of the dissecting vessel, decreasing the blood supply and worsening the clinical symptom. Except emergent endovascular thrombectomy, medications, and possible balloon angioplasty with stenting should be considered in treatment. We report a case of 80 years old male with various risk factors of embolic stroke, suffering from AIS caused by CAD unidentified before the surgical procedures. We describe the history and management of the patient followed by a further discussion.