J Korean Neurol Assoc.
2006 Dec;24(6):618-621.
A Case of Emergency Carotid Endarterectomy in a Patient with Progressing Stroke from Severe Internal Carotid Artery Stenosis
- Affiliations
-
- 1Department of Neurology, Ulsan University College of Medicine, Seoul, Korea. jhlee@amc.seoul.kr
- 2Department of Vascular Surgery, Ulsan University College of Medicine, Seoul, Korea.
Abstract
- In highly selected patients with acute internal carotid artery (ICA) steno-occlusion, prompt restoration might rescue a large ischemic penumbra. We report a 73-year-old man with left hemiparesis, which aggravated with the development of cortical symptoms. MRI & MRA revealed right ICA steno-occlusion and perfusion-diffusion mismatch. The patient underwent emergent carotid endarterectomy and showed clinical improvement without significant complications. The follow-up MRI showed improved perfusion without a new lesion.
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