A Case of Emergency Carotid Endarterectomy in a Patient with Progressing Stroke from Severe Internal Carotid Artery Stenosis

J Korean Neurol Assoc > Volume 24(6); 2006 > Article

Journal of the Korean Neurological Association 2006;24(6): 618-621.

심한 우측 내경동맥 협착증으로 응급 경동맥 내막절제술을 시행한 진행성 뇌졸중 환자 1예

조아현, 권태원a 이재홍

울산대학교 의과대학 신경과학교실, 혈관외과학교실a

A Case of Emergency Carotid Endarterectomy in a Patient with Progressing Stroke from Severe Internal Carotid Artery Stenosis

A-Hyun Cho

Departments of Neurology, Vascular Surgerya, University of Ulsan 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.