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Carotid dissection may be traumatic or spontaneous, resulting in hemorrhage within the arterial wall. Atraumatic causes are spontaneous, resulting in the absence of an external force such as with exertion of the neck (rapid or prolonged head movement). Atraumatic dissections have a different appearance than those of trauma, as they may have involvement of the common carotid, resulting in complete occlusion and being less likely to spontaneously resolve.
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