Abstract
Acute ischemic stroke refers to stroke caused by thrombosis or embolism and accounts for 80% of all strokes; it is also most seen among the elderly. Traumatic carotid artery dissection is a serious condition that may cause ischemic stroke in young patients. We report on a patient with a penetrating injury on the left side of the neck, presented with loss of consciousness and weakness in right limbs. The definitive diagnosis was left carotid artery dissection with left middle cerebral artery (MCA) territory infarction. It was based on diagnostic angiogram intervention. A computed tomographic (CT) scan also revealed left-sided cerebral infarction with mass effect within the middle cerebral artery territory. The diagnosis of carotid artery dissection should always be kept in mind when a young patient presents with ischemic change in the brain and focal signs in the clinical examination.
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