Cargando…

A case of temporary occlusion of donor artery after secondary generalized seizure in a patient with superficial temporal artery-middle cerebral artery bypass

BACKGROUND: To prevent stroke recurrence, a superficial temporal artery-middle cerebral artery (STA–MCA) bypass for atherosclerotic cerebrovascular occlusive disease is performed. Post stroke epilepsy is known as serious sequelae of stroke. Herein, we present a case of a 60-year-old man who underwen...

Descripción completa

Detalles Bibliográficos
Autores principales: Tsukada, Tsuyoshi, Masuoka, Toru, Kubo, Michiya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10559387/
https://www.ncbi.nlm.nih.gov/pubmed/37810288
http://dx.doi.org/10.25259/SNI_612_2023
_version_ 1785117485713850368
author Tsukada, Tsuyoshi
Masuoka, Toru
Kubo, Michiya
author_facet Tsukada, Tsuyoshi
Masuoka, Toru
Kubo, Michiya
author_sort Tsukada, Tsuyoshi
collection PubMed
description BACKGROUND: To prevent stroke recurrence, a superficial temporal artery-middle cerebral artery (STA–MCA) bypass for atherosclerotic cerebrovascular occlusive disease is performed. Post stroke epilepsy is known as serious sequelae of stroke. Herein, we present a case of a 60-year-old man who underwent STA–MCA bypass for the prevention of stroke recurrence; however, the donor artery was deemed to be temporally occluded secondary to generalized seizure. CASE DESCRIPTION: A 60-year-old man was referred to our hospital with a diagnosis of the left cervical internal carotid artery occlusion presenting with mild aphasia and right hemiparesis. He underwent STA–MCA bypass to prevent the recurrence of stroke 1 month after the onset of symptoms. On postoperative day 7, patency of the donor artery was confirmed on magnetic resonance imaging (MRI), and no complications were noted. However, on postoperative day 14, he presented with a secondary generalized seizure. MRI was immediately performed and the donor artery was not patent with no new lesions. Several hours thereafter, the blood flow of the donor artery was confirmed using pulse Doppler; however, during mouth opening, the flow of the donor artery decreased. Computed tomography-angiography confirmed donor artery patency. An encephalogram was conducted and revealed a focal epilepsy which was compatible with stroke on MRI. CONCLUSION: Post stroke epilepsy caused an unintended and forced mouth opening which led to a temporary occlusion of the donor artery after STA–MCA bypass. Thus, this complication should be recognized, and seizures should be prevented through the administration of prophylactic anti-seizure medication based on risk stratification assessment of post stroke epilepsy.
format Online
Article
Text
id pubmed-10559387
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Scientific Scholar
record_format MEDLINE/PubMed
spelling pubmed-105593872023-10-08 A case of temporary occlusion of donor artery after secondary generalized seizure in a patient with superficial temporal artery-middle cerebral artery bypass Tsukada, Tsuyoshi Masuoka, Toru Kubo, Michiya Surg Neurol Int Case Report BACKGROUND: To prevent stroke recurrence, a superficial temporal artery-middle cerebral artery (STA–MCA) bypass for atherosclerotic cerebrovascular occlusive disease is performed. Post stroke epilepsy is known as serious sequelae of stroke. Herein, we present a case of a 60-year-old man who underwent STA–MCA bypass for the prevention of stroke recurrence; however, the donor artery was deemed to be temporally occluded secondary to generalized seizure. CASE DESCRIPTION: A 60-year-old man was referred to our hospital with a diagnosis of the left cervical internal carotid artery occlusion presenting with mild aphasia and right hemiparesis. He underwent STA–MCA bypass to prevent the recurrence of stroke 1 month after the onset of symptoms. On postoperative day 7, patency of the donor artery was confirmed on magnetic resonance imaging (MRI), and no complications were noted. However, on postoperative day 14, he presented with a secondary generalized seizure. MRI was immediately performed and the donor artery was not patent with no new lesions. Several hours thereafter, the blood flow of the donor artery was confirmed using pulse Doppler; however, during mouth opening, the flow of the donor artery decreased. Computed tomography-angiography confirmed donor artery patency. An encephalogram was conducted and revealed a focal epilepsy which was compatible with stroke on MRI. CONCLUSION: Post stroke epilepsy caused an unintended and forced mouth opening which led to a temporary occlusion of the donor artery after STA–MCA bypass. Thus, this complication should be recognized, and seizures should be prevented through the administration of prophylactic anti-seizure medication based on risk stratification assessment of post stroke epilepsy. Scientific Scholar 2023-09-15 /pmc/articles/PMC10559387/ /pubmed/37810288 http://dx.doi.org/10.25259/SNI_612_2023 Text en Copyright: © 2023 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Tsukada, Tsuyoshi
Masuoka, Toru
Kubo, Michiya
A case of temporary occlusion of donor artery after secondary generalized seizure in a patient with superficial temporal artery-middle cerebral artery bypass
title A case of temporary occlusion of donor artery after secondary generalized seizure in a patient with superficial temporal artery-middle cerebral artery bypass
title_full A case of temporary occlusion of donor artery after secondary generalized seizure in a patient with superficial temporal artery-middle cerebral artery bypass
title_fullStr A case of temporary occlusion of donor artery after secondary generalized seizure in a patient with superficial temporal artery-middle cerebral artery bypass
title_full_unstemmed A case of temporary occlusion of donor artery after secondary generalized seizure in a patient with superficial temporal artery-middle cerebral artery bypass
title_short A case of temporary occlusion of donor artery after secondary generalized seizure in a patient with superficial temporal artery-middle cerebral artery bypass
title_sort case of temporary occlusion of donor artery after secondary generalized seizure in a patient with superficial temporal artery-middle cerebral artery bypass
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10559387/
https://www.ncbi.nlm.nih.gov/pubmed/37810288
http://dx.doi.org/10.25259/SNI_612_2023
work_keys_str_mv AT tsukadatsuyoshi acaseoftemporaryocclusionofdonorarteryaftersecondarygeneralizedseizureinapatientwithsuperficialtemporalarterymiddlecerebralarterybypass
AT masuokatoru acaseoftemporaryocclusionofdonorarteryaftersecondarygeneralizedseizureinapatientwithsuperficialtemporalarterymiddlecerebralarterybypass
AT kubomichiya acaseoftemporaryocclusionofdonorarteryaftersecondarygeneralizedseizureinapatientwithsuperficialtemporalarterymiddlecerebralarterybypass
AT tsukadatsuyoshi caseoftemporaryocclusionofdonorarteryaftersecondarygeneralizedseizureinapatientwithsuperficialtemporalarterymiddlecerebralarterybypass
AT masuokatoru caseoftemporaryocclusionofdonorarteryaftersecondarygeneralizedseizureinapatientwithsuperficialtemporalarterymiddlecerebralarterybypass
AT kubomichiya caseoftemporaryocclusionofdonorarteryaftersecondarygeneralizedseizureinapatientwithsuperficialtemporalarterymiddlecerebralarterybypass