Bilateral internal carotid artery and @entity4066 with XXXX after a roller coaster ride - case report and a review.

@entity1 @entity1018 @entity227 @entity51 @entity4048 @entity1829 @entity732 @entity10 @entity4066
We present the first case of a @entity1 with no significant medical history who developed dissections of bilateral carotid and bilateral vertebral arteries, as well as a @entity732 , after a roller coaster ride. A 35-year-old @entity1 developed right-sided @entity4048 followed by a frontal @entity10 immediately after a roller coaster ride. Five days after the incident, she developed complete @entity1018 in her right eye for two hours. Subsequently, the vision improved but remained significantly decreased. On presentation, her visual acuity was 20/200 in the right and 20/20 in the left eye. Her fundus exam revealed @entity1829 in the superotemporal retinal artery distribution without any visible emboli. Her neurological exam was otherwise normal. The cerebral angiogram showed bilateral internal carotid and @entity4066 . The @entity1 remained stable with conservative therapy without further @entity227 or any new @entity51 . Outcomes for cervicocephalic @entity4066 are usually favorable, but early diagnosis is critical for initiation of appropriate treatment of possible complications. Physicians must have a high index of suspicion for @entity4066 when @entity1 note any @entity10 , @entity4048 or vertigo triggered by violent motion after leisure activities such as roller coaster rides.
