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Small pieces from the growing blood clot can break off, flow upstream, and become trapped inside a smaller artery in the brain. The main arteries that bring blood to the brain are the carotid and vertebral arteries. Spontaneous dissection of the carotid and vertebral arteries is a relatively uncommon cause of stroke. An x-ray is used to look at the shape of the carotid and vertebral arteries as the dye travels through them (see picture). Arterial dissection refers to the abnormal, and usually abrupt, formation of a tear along the inside wall of an artery. , inability to close one eye) Symptoms of a stroke or transient ischemic attack can occur a few days to a few weeks after the onset of any of the symptoms described above. This can limit or completely interrupt blood flow to a part of the brain. Dissection is diagnosed when the angiogram shows an artery that appears to be split into two separate parts, one of which is the previously described false lumen. Diagnosis The most common test used to diagnose a dissection of the carotid or the vertebral artery is an angiogram.
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Dissection in these arteries can bring about a stroke. They can also burst and cause major bleeding into the brain (hemorrhagic strokes). Each year in the United States, between 12,000 and 15,000 people are affected by spontaneous dissection of the carotid or vertebral arteries. g. In this test, a contrast dye is injected inside of one of the arteries that bring blood to the brain. Causes of Carotid and Vertebral Artery Dissection The carotid and vertebral arteries can be damaged by neck injuries or even forceful neck movements. Paralysis of any of the muscles of the neck and face on one side (e. Arteries are the highways through which oxygen-rich blood flows toward oxygen-hungry organs, such as the kidneys, heart, and brain. When the dissection is so severe that it completely prevents blood flow through the affected artery, the dye tapers off and disappears at the point where the artery is completely closed off.
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