Abstract
Cervical artery dissections are the most common cause for nonatherosclerotic vasculopathies in young adults who present with stroke. They occur most often between the ages of 35 and 50 years with a peak in the fifth decade of life. Community-based studies have shown the annual incidence in the United States to range from 2.5-3.0 per 100,000. The importance of recognizing presentations of carotid artery dissections help to identify and treat patients. Common signs include unilateral head, face, or neck pain with Horner’s syndrome, cranial nerve palsies, or pulsatile tinnitus. These may be preceded by minor trauma that is noted upon further history. Here we impart an unusual presentation of internal carotid artery (ICA) dissection mimicking angioedema with unilateral tongue swelling and associated pharyngeal pain.
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