S. Andonova-Atanasova 1, F. Kirov 1, Ch. Bachvarov 2, V. Velinov 2
1 Department of Neurology, Second Clinic of Neurology,
2 Department of Radiology, University Hospital St. Marina – Varna, Bulgaria

Objective: The term dissection refers primarily to an elevation or separation of the intimal lining of an artery from the subjacent media and, less frequently, to separation of the media from the adventitia. Dissection is usually accompanied by hemorrhage into the arterial wall. According to the literature serious vascular injurie to the neck may be asymptomatic or masked by other life-threatening conditions.

Material and Methods: We observed one patient - 44 years old men, with multiple trauma to the neck and left leg, three months before the hospitalization, suffering from acute ischemic stroke. There were no risk factors for cerebrovascular disease. CT angiography was obtained by Spiral Scanner with reconstructions and interpretation by a radiologist. Color-coded duplex sonography was used to determine the extracranial blood flow velocity and the wall of carotid arteries.