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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. jhlee@amc.seoul.kr
Department 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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