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In a previous study, microscopic findings in superficial temporal artery specimens in patients with cervical artery dissections suggest that the pathophysiologic mechanism is an expanding hematoma in the medial–adventitial border arising from the vasa vasorum.1 The hematoma is half-moon-shaped and can be visualized by T1-weighted fat-saturated MRI.2

Correlating microscopic findings with B-mode ultrasound in cervical artery dissection