Dissection of brachiocephalic and intracranial arteries is the leading cause of ischemic stroke at a young age. It is a rupture of the intima of the artery with the formation of an intrahepatic (intramural) hematoma, leading to stenosis and / or occlusion of its lumen with a high probability of acute ischemic stroke developing. The epidemiology, etiology, pathogenesis, and clinical picture of brachiocephalic and intracranial artery dissection are described in the scientific work. The article presents the modern principles of treatment of this pathology.

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