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A 17-year-old boy had been admitted with an acute left occipital stroke relating to a recent right extracranial vertebral artery dissection. Arterial angiography identified internal carotid artery fibrodysplasia also on the left side (figure 1A). He had been started on aspirin 100 mg daily for stroke prevention.
Four months later, he developed transient dizziness, blurred vision and right leg weakness. MR angiogram showed a large pseudoaneurysm …
Contributors RRM, MLdSP and WCdST: Conception of the work, data collection and drafting of the article. RSHK, FF, MAAC, CAK and FK: Critical revision of the article.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned. Externally peer reviewed by Fleur van Dijk, London, UK, and Martin Punter, Otago, Australia.