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First published on April 2, 2008
Angiology 2008, doi:10.1177/0003319707309653
© 2008 SAGE Publications

Article

Bilateral Carotid and Bilateral Vertebral Artery Dissection Following Facial Massage

A. L. Chakrapani, BA*, W. E. Zink, MD, PhD, R. D. Zimmerman, MD, H. A. Riina, MD, and R. P. Benitez, MD

Weill Medical College of Cornell University

* To whom correspondence should be addressed. E-mail: laueran{at}ohsu.edu.


  Abstract
A 50-year-old woman underwent facial massage. After 13 days, she experienced left retro-orbital pain, ptosis, and miosis. Magnetic resonance imaging (MRI) showed stenotic dissection of bilateral cervical internal carotid and vertebral arteries. The intracranial vasculature was intact. She was treated conservatively with long-term oral anticoagulation and remains asymptomatic 18 months later.


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