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The authors have no conflicts of interest to disclose. Dear Sir, Hemorrhagic transformation has rarely been reported in the evolution of ischemic stroke caused by carotid artery dissection [1] . Herein, we report the neuroimaging of a patient admitted to the hospital for a parenchymal hematoma over the right basal ganglia which, after an extensive neuroimaging workup, turned out to be the hemorrhagic transformation of an ischemic stroke secondary to spontaneous internal carotid artery dissection. This case was not treated with r-TPA or endovascular therapy. Received: November 15, 2011 Accepted: February 27, 2012 Published online: June 20, 2012

Parenchymal Hematoma as Hemorrhagic Transformation of Ischemic Stroke Secondary to Spontaneous Internal Carotid Artery Dissection