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Angiology
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Severe Spontaneous Carotid Artery Dissection and Multiple Aneurysmal Dilatations

A Case Report

Michael Plaschke

Max Planck Institute of Psychiatry, Clinical Institute, Neurology, Munich

Dorothee Auer

Max Planck Institute of Psychiatry, Clinical Institute, Neurology, Munich

Thorsten Trapp

Max Planck Institute of Psychiatry, Clinical Institute, Neurology, Munich

Peter Trenkwalder

Department of Internal Medicine, University of Munich, Munich, Germany

Claudia Trenkwalder

Max Planck Institute of Psychiatry, Clinical Institute, Neurology, Munich

Spontaneous cervical artery dissections or arterial aneurysms associated with deficien cies of {alpha}1-antitrypsin ({alpha} 1-AT) or other inhibitors of proteolytic enzymes have occasion ally been reported. However, a coexistence of severe spontaneous internal carotid artery dissection and multiple aneurysmal dilatations associated with {alpha}1-AT phenotype M1S have not yet been presented; herein the authors describe such a patient. In order to avoid the risks associated with intraarterial angiography in a patient in whom an under lying arteriopathy is suspected, only noninvasive techniques were employed. This case demonstrates that magnetic resonance imaging combined with magnetic resonance angiography is a valuable noninvasive method for use in diagnosis and follow-up of carotid artery dissection.

Angiology, Vol. 47, No. 9, 919-923 (1996)
DOI: 10.1177/000331979604700912
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