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“Puppy sign” indicating bilateral dissection of internal carotid artery
  1. Berend Feddersen,
  2. Jennifer Linn,
  3. Thomas Klopstock
  1. Department of Neurology, University of Munich, Klinikum Grosshadern, Muenchen, Germany
  1. Berend Feddersen, Department of Neurology, University of Munich, Klinikum Grosshadern, Marchioninistr. 15, D-81377 Muenchen, Germany; Berend.Feddersen{at}med.uni-muenchen.de

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A 66-year-old patient presented with marked headache. Neurological examination was unremarkable. Fat saturated T1 weighted magnetic resonance showed bilateral dissection of the extracranial …

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