ArticleRadiology case reports2026
Craniocervical arterial dissections with cerebral infarction: a five-case series with diagnostic application of vessel wall MRI.
Article in Radiology case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Craniocervical arterial dissection (CCAD) is an important but often underdiagnosed cause of ischemic stroke, especially in young and middle-aged adults. We present a series of 5 patients (three men and 2 women, aged 25-45 years) with acute ischemic stroke secondary to CCAD, including 2 internal carotid artery dissections and 3 vertebral artery dissections. Initial computed tomography (CT) and CT angiography were inconclusive, while high-resolution vessel wall MRI (VW-MRI) revealed characteristic features such as intramural hematoma, intimal flap, double lumen, and mural enhancement. All patients were treated with aspirin monotherapy and demonstrated favorable outcomes without recurrence during short-term follow-up. This series highlights the diagnostic value of VW-MRI in patients with cryptogenic stroke and inconclusive CTA, underscoring its role in timely diagnosis and management of CCAD.
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