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J Korean Neurol Assoc. 2006 Dec;24(6):618-621. Korean. Case Report.
Cho AH , Kwon TW , Lee JH .
Department of Neurology, Ulsan University College of Medicine, Seoul, Korea.
Department of Vascular Surgery, Ulsan University College of Medicine, Seoul, Korea.

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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