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Scintillating scotomata associated with internal carotid artery dissection

Report of three cases

Center for Stroke Research, Department of Neurology, Henry Ford Hospital, Detroit, MI.

We report three cases of cervical internal carotid artery (ICA) dissection, which presented with visual symptoms resembling the migraine aura. When prolonged and especially when associated with other neurologic symptoms, such transient and positive visual phenomena can be manifestations of ICA dissection that mimic migraine.

Address correspondence and reprint requests to Dr. Nabih M. Ramadan, Center for Stroke Research, Henry Ford Hospital, Department of Neurology, K-11, 2799 W. Grand Blvd., Detroit, MI 48202-2689.

Supported in part by NIH grant # NS23393 and the American Heart Association, Michigan Affiliate.

Presented in part at the 42nd annual meeting of the American Academy of Neurology, Miami Beach, FL, May 1990.

Received August 14, 1990. Accepted for publication in final form December 13, 1990.

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