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American Journal of Neuroradiology 26:2030-2032, September 2005
© 2005 American Society of Neuroradiology

Case Report
BRAIN

Spontaneous Isolated Posterior Communicating Artery Dissection in a Young Adult with Hyperhomocysteinemia

Ian C. Duncana and Johannes M. Terblanchéa

a From the Unitas Interventional Unit, Unitas Hospital, Lyttelton, South Africa

Address correspondence to Ian C. Duncan, Unitas Interventional Unit, PO Box 14031, Lyttelton, 0140 South Africa

Summary: A 28-year-old man presented with an acute spontaneous dissection of the left posterior communicating artery with associated ipsilateral thalamic and internal capsular infarctions. Positive risk factors included smoking and family history of ischemic heart disease. He was also found to have hyperhomocysteinemia, which has been implicated as a risk factor for spontaneous cervical artery dissection, but to date, no association has been shown with spontaneous intracranial arterial dissection.






Copyright © 2009 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X