Background:Carotid artery dissection (CAD) is a frequent cause of ischemic stroke in patients under 40 years. It happen spontaneously or after various degree of trauma.Case Report: In this report we present a case of 33 years-old woman with dissection of the common carotid and internal carotid artery after ‘blind ’ fine-needle aspiration biopsy of the neck lymph node.Conclusions: Fine-needle aspiration biopsy of the neck, close to carotid vessels should be always performed under control of imaging techniques.

Keywords: carotid artery dissection, fine-needle aspiration biopsy