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Bilateral Internal Carotid Arteries Occlusion: A Case Report

Bilateral internal carotid artery occlusion is a disease that is encountered rarely. We report a case of a 54 years old female smoker, who presented with acute onset right-sided limb weakness, facial deviation and slurring of speech. On computed tomography angiography occlusion of the bilateral inte...

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Autores principales: Upadhyaya, Prabhaw, Karki, Prasanna, Pokharel, Baburam, Sharma, Gopal Raman
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Journal of the Nepal Medical Association 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9200002/
https://www.ncbi.nlm.nih.gov/pubmed/35210642
http://dx.doi.org/10.31729/jnma.6877
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author Upadhyaya, Prabhaw
Karki, Prasanna
Pokharel, Baburam
Sharma, Gopal Raman
author_facet Upadhyaya, Prabhaw
Karki, Prasanna
Pokharel, Baburam
Sharma, Gopal Raman
author_sort Upadhyaya, Prabhaw
collection PubMed
description Bilateral internal carotid artery occlusion is a disease that is encountered rarely. We report a case of a 54 years old female smoker, who presented with acute onset right-sided limb weakness, facial deviation and slurring of speech. On computed tomography angiography occlusion of the bilateral internal carotid artery was seen and a high-flow collateral circulation was formed through the vertebrobasilar system. Computed tomography brain perfusion showed marked cerebral hypoperfusion on the left side. The patient was thrombolysed and kept on dual antiplatelet therapy. Post-medical treatment, motor power and speech significantly improved.
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spelling pubmed-92000022022-06-21 Bilateral Internal Carotid Arteries Occlusion: A Case Report Upadhyaya, Prabhaw Karki, Prasanna Pokharel, Baburam Sharma, Gopal Raman JNMA J Nepal Med Assoc Case Report Bilateral internal carotid artery occlusion is a disease that is encountered rarely. We report a case of a 54 years old female smoker, who presented with acute onset right-sided limb weakness, facial deviation and slurring of speech. On computed tomography angiography occlusion of the bilateral internal carotid artery was seen and a high-flow collateral circulation was formed through the vertebrobasilar system. Computed tomography brain perfusion showed marked cerebral hypoperfusion on the left side. The patient was thrombolysed and kept on dual antiplatelet therapy. Post-medical treatment, motor power and speech significantly improved. Journal of the Nepal Medical Association 2022-02 2022-02-28 /pmc/articles/PMC9200002/ /pubmed/35210642 http://dx.doi.org/10.31729/jnma.6877 Text en © The Author(s) 2018. https://creativecommons.org/licenses/by/4.0/This is an Open-Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Upadhyaya, Prabhaw
Karki, Prasanna
Pokharel, Baburam
Sharma, Gopal Raman
Bilateral Internal Carotid Arteries Occlusion: A Case Report
title Bilateral Internal Carotid Arteries Occlusion: A Case Report
title_full Bilateral Internal Carotid Arteries Occlusion: A Case Report
title_fullStr Bilateral Internal Carotid Arteries Occlusion: A Case Report
title_full_unstemmed Bilateral Internal Carotid Arteries Occlusion: A Case Report
title_short Bilateral Internal Carotid Arteries Occlusion: A Case Report
title_sort bilateral internal carotid arteries occlusion: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9200002/
https://www.ncbi.nlm.nih.gov/pubmed/35210642
http://dx.doi.org/10.31729/jnma.6877
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