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CT angiogram of the head and neck vessels revealed a dissection flap immediately proximal to the occlusion. The carotid dissection was treated with aspirin 300\u2009mg for 2\u2009weeks followed by clopidogrel 75\u2009mg for a minimum of 3\u2009months. The patient was discussed with the vascular team who confirmed that no surgical intervention would be required to treat the occlusion. With the relatively simple treatment of antiplatelet therapy, the patient is making good progress with no recurrence of symptoms.<\/jats:p>","DOI":"10.1136\/bcr-2022-250632","type":"journal-article","created":{"date-parts":[[2022,11,29]],"date-time":"2022-11-29T10:35:13Z","timestamp":1669718113000},"page":"e250632","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Carotid artery dissection presenting as exercise-induced monocular visual loss"],"prefix":"10.1136","volume":"15","author":[{"given":"Zhilin","family":"Jiang","sequence":"first","affiliation":[{"name":"Stroke Medicine, Princess Royal University Hospital, Orpington, Kent, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mustafa","family":"Kadam","sequence":"additional","affiliation":[{"name":"Stroke Medicine, Guy's and St Thomas' Hospitals NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,11,29]]},"reference":[{"key":"2025082707391012000_15.11.e250632.1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.59.1.26"},{"key":"2025082707391012000_15.11.e250632.2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2004.040543"},{"key":"2025082707391012000_15.11.e250632.3","first-page":"304","article-title":"Isolated internal carotid artery dissection in a long-distance runner","volume":"11","author":"Wachal","year":"2016","journal-title":"Wideochir Inne Tech Maloinwazyjne"},{"key":"2025082707391012000_15.11.e250632.4","doi-asserted-by":"crossref","DOI":"10.3402\/jchimp.v5.28844","article-title":"Spontaneous internal carotid dissection in a 38-year-old woman: a case report","volume":"5","author":"Abed","year":"2015","journal-title":"J Community Hosp Intern Med Perspect"},{"key":"2025082707391012000_15.11.e250632.5","doi-asserted-by":"crossref","unstructured":"Thanvi B , Munshi SK , Dawson SL . 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