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Spontaneous recanalization of internal carotid artery occlusion

Spontane Rekanalisierung eines Carotis interna Verschlusses

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Zusammenfassung

Wir stellen einen Fall mit spontaner Rekanalisierung eines Carotis interna Verschlusses vor, der bei einem 51-jährigen männlichem Patienten beobachtet wurde. Der Verschluss der rechten Aerteria carotis interna war asymptomatisch und ein Zufallsbefund im Rahmen der bildgebenden Untersuchung der Arteria carotis der Gegenseite. Die anschließend durchgeführte neuroradiologische Untersuchung ergab eine flammenartige Okklusion, die den Verdacht einer Dissektion der Arterie nahelegte. Die 1 und 5 Monate später durchgeführte Doppler-Ultraschall-Untersuchungen zeigten eine offene rechte Arteria Carotis mit normalem Fluss.

Summary

We present a case of spontaneous recanalization of the internal carotid artery (ICA) that occurred in a 51-year-old male patient. The occlusion of the right ICA was asymptomatic and was detected incidentally during imaging of the opposite carotid artery. The patient underwent neuroradiologic analysis and a tapered, flame-like occlusion suggestive of the right ICA dissection was detected. One month later, a carotid Doppler ultrasound demonstrated patent right carotid artery with normal spectral flow. Five-month follow-up showed that the ICA remained patent.

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Correspondence to Lidija Tuskan-Mohar.

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Tuskan-Mohar, L., Legac, M., Bralic, M. et al. Spontaneous recanalization of internal carotid artery occlusion. Wien Klin Wochenschr 122, 633–636 (2010). https://doi.org/10.1007/s00508-010-1490-2

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  • DOI: https://doi.org/10.1007/s00508-010-1490-2

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