en Neurology Neurology case report case report <span style="font-size:12pt"><span style="line-height:14pt"><span new="" roman="" style="font-family:" times=""><b><i><span style="font-size:10.0pt"><span style="color:blue">Background</span></span></i></b><i><span style="font-size:10.0pt"><span style="color:blue">:</span></span></i><span style="font-size:10.0pt"> Cervical carotid dissection is one of the causes of ischemic stroke in young people. Most of the patients with carotid dissection do not have connective tissue diseases (Marfan syndrome, Ehlers-Danlos syndrome). It seems that dissection may occur without an obvious cause or may follow environmental injuries like vigorous neck movements, chiropractic manipulation, emesis, severe coughs, and some infections. We present a case of bilateral carotid dissection in a patient following coronavirus infection and severe coughs.</span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:14pt"><span new="" roman="" style="font-family:" times=""><b><i><span style="font-size:10.0pt"><span style="color:blue">Case </span></span></i></b><b><i><span style="font-size:10.0pt"><span style="color:blue">Presentation</span></span></i></b><b><i><span style="font-size:10.0pt"><span style="color:blue">:</span></span></i></b><span style="font-size:10.0pt"> A 38-year-old right-handed man presented with recurrent episodes of transient right hemiparesis and aphasia. He had a history of coronavirus infection and severe persistent, nonproductive cough 7 days before the onset of his symptoms. Carotid angiography showed tapered flame-like appearance in proximal segment of left ICA starting about 2 cm distal to the carotid bulb caused complete occlusion of left ICA and in right CCA angiography there is pseudo aneurysm in right cervical ICA </span><span lang="EN" style="font-size:10.0pt">just before the Petrous segment.</span> <span lang="EN" style="font-size:10.0pt">In 3 months in follow up DSA there is evidence of complete occlusion of right pseudo aneurysm and recanalization of left ICA without stenosis.</span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:14pt"><span new="" roman="" style="font-family:" times=""><b><i><span style="font-size:10.0pt"><span style="color:blue">Conclusion:</span></span></i></b><i> </i><span style="font-size:10.0pt">COVID-19 may have role in the processes that eventually led to CAD</span></span></span></span> Carotid stenting, Cough, dissection, Stroke, COVID-19 281 283 http://caspjim.com/browse.php?a_code=A-10-2494-1&slc_lang=en&sid=1 Mohammad Ghorbani ghorbani.m@iums.ac.ir 100319475328460035594 100319475328460035594 No Division of vascular and Endovascular Neurosurgery, Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran Abolghasem Mortazavi sgmortazavi@gmail.com 100319475328460035595 100319475328460035595 Yes Division of vascular and Endovascular Neurosurgery, Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran Ghazwan Lafta ghazwan_altayy@yahoo.com 100319475328460035596 100319475328460035596 No Department of Surgery, University of Al-Ameed, Karbala, Iraq Mahdi Kadkhodazadeh Asl kadkhodazadehasl@gmail.com 100319475328460035597 100319475328460035597 No Division of vascular and Endovascular Neurosurgery, Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran Reza Bahrami rbahrami1400@gmail.com 100319475328460035598 100319475328460035598 No Division of vascular and Endovascular Neurosurgery, Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran Farhad Rahbarian Dr.rahbarian@gmail.com 100319475328460035599 100319475328460035599 No Division of vascular and Endovascular Neurosurgery, Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran