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Correspondence
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Volume 336:516 February 13, 1997 Number 7
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Carotid-Artery Dissection after a Prolonged Telephone Call

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To the Editor: The mechanisms and severity of trauma associated with dissection of the internal carotid artery vary. Participation in many types of sports, prolonged hypertension, forced rotation of the head, and various routine activities are all potentially causative.1

A 36-year-old woman with an unremarkable medical history had sudden right-sided neck pain immediately after a telephone conversation that lasted 32 minutes, as timed by the counter on the base unit of her cordless phone. During the entire conversation, she held the handset between her right ear and shoulder by flexing her head to the side, thereby allowing her to continue . . . [Full Text of this Article]

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