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The lesions remained unchanged in appearance after 1 year of therapy with clopidogrel (Plavix; Bristol-Myers Squibb/Sanofi Pharmaceuticals Partnership, Bridgewater, NJ) therapy.

However, carotid and vertebral dissections are still underrecognized despite their distinct clinical and radiologic manifestations.Axial source images are sensitive to luminal abnormalities at all levels, including the foramen transversaria. However, a minor drawback of this modality is the necessity for contrast enhancement.Findings on contrast-enhanced CT scans are similar to those on MRIs.Chronic subadventitial dissection of the right internal carotid artery.This angiogram shows a small pseudoaneurysm and a small intimal dissection with an elevated intimal flap that is just proximal to the subadventitial dissection.A study by Bonati et al indicates that diffusion-weighted imaging (DWI) scans can differentiate cerebral ischemias caused by spontaneous cervical artery dissection from those resulting from patent foramen ovale (PFO).