Abstract
A patient in her early 50s presented to the emergency department with a sudden onset of left-sided hemiplegia and neglect. The initial stroke scale was 16. CTA showed a right common carotid artery (CCA) occlusion close to its origin. An emergency MRI/MRA showed multiple small emboli in the right cerebral hemisphere with non-visualization of the right common and internal carotid arteries (Fig. 94.1a, b). Perfusion MRI showed a large penumbra on the right side (Fig. 94.1c, d). The patient was prepared for an emergency revascularization under general anesthesia.
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Suggested Reading
Cohen JE, et al. Emergent stenting to treat patients with carotid artery dissection. Stroke. 2003;34:e254–7.
Kadkhodayan Y, et al. Angioplasty and stenting in carotid dissection with or without associated pseudoaneurysm. Am J Neuroradiol. 2005;26(9):2328–35.
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Puri, A.S., Parthasarathy, R. (2019). Extensive Stent Reconstruction for Long-Segment Symptomatic Dissections. In: Gupta, V., Puri, A., Parthasarathy, R. (eds) 100 Interesting Case Studies in Neurointervention: Tips and Tricks. Springer, Singapore. https://doi.org/10.1007/978-981-13-1346-2_94
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DOI: https://doi.org/10.1007/978-981-13-1346-2_94
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