Teaching NeuroImages: An uncommon cause of carotid artery dissection: Fabry disease.

Cervical internal carotid artery dissection (CAD), a leading cause of ischemic stroke in young adults, has been rarely associated with Fabry disease (FD).1,2 A 49-year-old man with left acute middle cerebral artery occlusion due to underlying spontaneous CAD received IV thrombolysis and mechanical thrombectomy, achieving complete reperfusion (figure 1).