Abstract
We describe a rare case of a woman, in whom disssection of both carotides, as well as both vertebral arteries occurred in the period between 2005 and 2015 (for the first time at the age of 32 years). Occlusive dissection developed in all occasions except the right internal carotid artery that was treated with angioplasty and stenting.
In spite of this, the patient developed no cerebral lesion and neurological deficit remained limited to the left-side Horner syndrome due to a damage of the cervical sympathetic trunk. Digital subtraction angiography revealed alternating segments of stenoses and aneurysmal dilatation of arteries, i.e. changes typical for fibromuscular dysplasia.
Affection of neither renal, nor coronary bloodstream was proven in the patient. The case report demonstrates well the wide variability of clinical manifestations of cervical artery dissections.