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- ItemAcesso aberto (Open Access)Spontaneous carotid dissection(Assoc Medica Brasileira, 2017) Queiroz Flumignan, Carolina Dutra [UNIFESP]; Gomes Flumignan, Ronald Luiz [UNIFESP]; Uta Nakano, Luis Carlos [UNIFESP]; de Amorim, Jorge Eduardo [UNIFESP]Carotid dissection is a rare occurrence but it is the main cause of stroke in individuals aged less than 45 years, and can be the etiology in up to 25% of strokes in young adults. We report a case with classic image of ying yang on vascular ultrasound, which was treated according to the best available medical evidence, yielding a favorable outcome.