AJDRAJNR - American Journal of Neuroradiology

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Basilar and Bilateral Carotid Dolichoectasia with Spontaneous Dissection of C2 Segment of the Internal Carotid Artery

L. Borotaa and P. Jonassona

a From the Section of Neuroradiology, Department of Radiology, University Hospital of Northern Sweden, Umeå, Sweden


Figure 1
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Fig 1. A, nonenhanced computerized tomography showing left-sided ganglionic bleeding with penetration of the blood into the left lateral ventricle.

B and C, contrast-enhanced computerized tomography (CECT) showing supraclionoid segments of both internal carotid arteries and tortuous and dilated basilar artery.

D, CECT, bone window shows symmetrical and normally shaped carotid channels within hyperaerated petrous bones.


Figure 2
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Fig 2. Angiogram of the left internal carotid artery, left anterior oblique projection showing double lumen of C2 segment of the internal carotid artery. Note the smooth contours of slightly dilated vascular channels (arrow) and fusiform dilation of the supraclinoid segment of the internal carotid artery (small arrow).


Figure 3
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Fig 3. Angiogram of the right internal carotid artery, anteroposterior (AP) projection, shows symmetric fusiform dilation of the supraclinoid segment of the right internal carotid artery.


Figure 4
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Fig 4. Angiogram of the basilar artery, AP projection, shows moderately dilated distal segment of the left vertebral artery as well as dilated and extremely tortuous basilar artery.