Publication: Bilateral Internal Carotid Arteries Occlusion: A Case Report Authors
Date
2022
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract:
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.
Description
Prabhaw Upadhyaya
Department of Neurosciences, Division of Neurology, Nepal Mediciti, Sainbu, Bhaisepati, Lalitpur, Nepal
https://orcid.org/0000-0002-3173-6243
Prasanna Karki
Department of Neurosciences, Division of Neurosurgery, Nepal Mediciti, Sainbu, Bhaisepati, Lalitpur, Nepal
Baburam Pokharel
Department of Neurosciences, Division of Neurology, Nepal Mediciti, Sainbu, Bhaisepati, Lalitpur, Nepal
https://orcid.org/0000-0002-5577-9643
Gopal Raman Sharma
Department of Neurosciences, Division of Neurosurgery, Nepal Mediciti, Sainbu, Bhaisepati, Lalitpur, Nepal
https://orcid.org/0000-0003-3638-4993
Keywords
case report, internal carotid arteries, ischemic stroke, thrombolysis