An isolated spontaneous common carotid artery (CCA) dissection is an extremely rare cause of stroke, and standard treatment guidelines are not yet established. This case report presents a rare case of isolated spontaneous CCA dissection but with typical and obvious radiological findings, and it could be informative and educational to clinicians. Telescoping multiple carotid stents can be a feasible treatment option for this case with recurrent ischemia due to a long segment dissection.