Abstract
A 63-year-old man, after squeezing a skin lesion in the left cervical region (figure, A), developed right hand weakness. Cranial MRI displayed multiple ischemic lesions in the left anterior circulation (figure, B). Plaque imaging revealed a nonstenosing complicated AHA type VI plaque in the left internal carotid artery (ICA) near the site of manipulation (figure, C–E). We hypothesize that the mechanical maneuver …
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