PMC7765723_01
Left ipsilateral deviation of the tongue to protraction (arrow) in Mr. C.E. suggestive of a left carotid dissection.
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fig3
The rest of the examination including cardiovascular, pleuropulmonary, and digestive was normal.  Figure 3 shows M.C.E. patient with a tongue ipsilateral deviation of the left suggesting a left carotid dissection.
MRI of the neck vessels, T2 FLAIR axial (a) and T1 FAT-SAT axial (b), hyperintense subintimal hematoma.
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fig4
A brain MRI and neck vessels confirmed a subintimal hematoma of the left internal carotid artery in favor of a left carotid dissection as shown in Figure 4.