Treatment of transiently symptomatic acute internal carotid artery occlusion: learning from the interventional field

J Stroke Cerebrovasc Dis. 2009 Nov-Dec;18(6):458-9. doi: 10.1016/j.jstrokecerebrovasdis.2009.01.013.

Abstract

A 69-year-old man experienced left hemiparesis and confusion of sudden onset, followed by complete spontaneous recovery after about 20 minutes. When carotid ultrasound was performed in the neurovascular unit 12 hours later, an occluded right internal carotid artery was found. Transcranial ultrasound showed normal flow in the right middle and anterior cerebral arteries. How should he be treated?

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anticoagulants / therapeutic use
  • Aspirin / therapeutic use
  • Carotid Stenosis / complications
  • Carotid Stenosis / diagnosis
  • Carotid Stenosis / physiopathology
  • Carotid Stenosis / therapy*
  • Cerebral Arteries / physiopathology
  • Cerebrovascular Circulation
  • Confusion / etiology
  • Endarterectomy, Carotid
  • Humans
  • Male
  • Paresis / etiology
  • Platelet Aggregation Inhibitors / therapeutic use
  • Severity of Illness Index
  • Thrombolytic Therapy
  • Tomography, X-Ray Computed
  • Treatment Outcome

Substances

  • Anticoagulants
  • Platelet Aggregation Inhibitors
  • Aspirin