Papers of the Week

We present the first case of acute cerebral infarction caused by the progressive stripping of the carotid artery dissection Chinese patient with Osteogenesis imperfecta. A 48-year-old Chinese male who had no prior medical history or bad habits was to admitted the hospital due to left-side temporal headache, paroxysmal right limb weakness, and prolonged blurred vision experienced for a week. After a series of tests were performed to exclude superficial temporal arteritis, the patient was diagnosed with transient ischemic attack and was given aspirin, clopidogrel and atorvastatin without further headache and blurred vision. However, he was again admitted to the emergency department the following day due to right limb weakness for 7 hours that was considered acute cerebral infarction caused by left carotid artery dissection.The findings in this case support that Internal carotid and cerebral artery dissection may be one of the complications of osteogenesis insufficiency.