Cervical artery dissection (CAD) represents 20% of ischemic stroke in young adult under 45 years of age and account for about 2% of all ischemic strokes. The increasing number of reported patients in recent years reflects both a growing familiarity with this complex clinical entity and a significant improvement in the methods of investigation. Dissection of the carotid and vertebral arteries are rare, with a reported annual incidence of 2.5 to 3 per 100000 for carotid artery dissection. The reported incidence of spontaneous CAD (sCAD) may underestimate the cause which may be difficult to suspected and diagnose.
The occurrence of recurrent sCAD is rare. Previous studies report about 3-8% of the incidences. Risk factors In young adults, a presumed premature atherosclerotic etiology, which affects larger extra and intracranial vessels is found in 20-25% principally due to classical risk…
