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A 26-year-old woman was admitted with amaurosis fugax in the left eye and transient aphasia. Diffusion-weighted MRI revealed a small infarction in the left insular cortex. Transoral carotid ultrasonography (TOCU)1 demonstrated left ICA dilatation with narrowing of the true lumen and intramural mass (figure 1A), which was consistent …

Teaching NeuroImages:Simultaneous angiography and ultrasonography in extracranial internal carotid artery dissection