Presentation
We describe the case of a 39-year-old female who presented due to acute severe ischaemia in the left hand, although the radial pulse was still present, with a transient ischemic attack in the left hemisphere at the same time. [pesquisa.bvsalud.org]
We herein present a case of an internal carotid artery embolism associated with a hidden internal carotid artery aneurysm. The aneurysm was visualized during successful endovascular treatment of the carotid embolism. [ncbi.nlm.nih.gov]
Case report We describe the case of a 39-year-old female who presented due to acute severe ischaemia in the left hand, although the radial pulse was still present, with a transient ischemic attack in the left hemisphere at the same time. [elsevier.es]
The typical facial features of Sotos' syndrome were not present. Gross examination of the surgical specimen revealed that tumor was present in the resected margin of left renal vein. [tandfonline.com]
Eyes
- Transient Blindness
Transient ischemic attacks (TIA), or “mini-strokes,” can appear as transient blindness in part or all of one eye and may signal an oncoming stroke. [ucdmc.ucdavis.edu]
Neurologic
- Focal Neurological Deficit
The patient came to the emergency department due to left-hemisphere focal neurological deficits with unknown time of onset. He was last seen to be asymptomatic at 9.30. [elsevier.es]
neurological deficit in the area of distribution of the cerebral arteries. [icd10data.com]
Hyperperfusion syndrome without intracranial hemorrhage was defined as the occurrence, either alone or in combination, of an ipsilateral throbbing headache with or without nausea, vomiting, ipsilateral focal seizure, or focal neurologic deficit without [ajnr.org]
- Hemianesthesia
</li></ul><ul><li>When the origins of both the ACA and MCA are occluded at the top of the carotid artery, abulia or stupor occurs with hemiplegia, hemianesthesia, and aphasia or anosognosia. [slideshare.net]
Findings related to the ACA territory are as follows: Crural paresis > arm paresis Frontal signs (eg, abulia) Findings related to the anterior choroidal artery territory are as follows: Hemiparesis Hemianesthesia Homonymous hemianopia Lacunar syndromes [emedicine.medscape.com]
Workup
However, in the setting of symptoms suggestive of stroke or TIA, workup for this condition may be indicated. [unboundmedicine.com]
Treatment
The aneurysm was visualized during successful endovascular treatment of the carotid embolism. In retrospect, the aneurysm was at risk of rupture during the procedure. [ncbi.nlm.nih.gov]
The aneurysm was visualized during endovascular treatment of the ICA embolism. Knowledge of the association may lower the risk of endovascular treatment. [ajnr.org]
Peripheral vascular disease is a common, disabling malady, and patients seeking treatment may turn to their cardiologist for advice and treatment. [books.google.com]
Surgical treatment of occlusive disease of the carotid artery. Ann. Surg.1959149: 711–719.Bahnson H. T. Spencer F. C. and Quattle-baum J. K. Jr. Surgical treatment of occlusive disease of the carotid artery. Ann. Surg. 1959 149: 711–719. [thejns.org]
The patient was discharged with triflusal and clopidogrel treatment, and remained asymptomatic at 5 months of follow-up. [j-stroke.org]
Prognosis
Prognosis of carotid siphon stenosis.. Stroke, Vol. 18, Issue. 2, p. 537. CrossRef Google Scholar Gautier, Jean-Claude 1988. Amaurosis Fugax. p. 24. [cambridge.org]
Hankey GJWarlow CP Prognosis of symptomatic carotid artery occlusion: an overview. Cerebrovasc Dis.1991;1:245-256.Google Scholar 7. [jamanetwork.com]
In the “carotid T-occlusion” (thrombolytic occlusion from the proximal ICA section to the ACA and MCA), the prognosis is uncertain, even if recanalisation is performed within a few hours. [bmcneurol.biomedcentral.com]
Observations on the prognosis and surgical treatment. J. Neurosurg. 16, 705–730 (1959) PubMed CrossRef Google Scholar 12. [link.springer.com]
Etiology
/diagnosis Postoperative Complications/etiology* Tomography, X-Ray Computed/methods Transplantation, Autologous/adverse effects Transplantation, Autologous/methods Ultrasonography, Doppler, Transcranial/methods Vision Disorders/etiology Young Adult [ncbi.nlm.nih.gov]
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
ICD-10-CM Codes › I00-I99 Diseases of the circulatory system › I60-I69 Cerebrovascular diseases › Use Additional Use Additional Help Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology [icd10data.com]
The frequent occurrence of mitral valve prolapse in normal populations suggests that this anomaly may be incidental rather than etiologic in patients with cerebral embolic phenomena. [n.neurology.org]
An exhaustive stroke work-up did not provide a plausible etiology for his symptoms. His complete blood count and iron studies, however, revealed evidence of severe iron-deficiency anemia without reactive thrombocytosis. [hindawi.com]
Epidemiology
Epidemiology Approximately 10% of ischemic strokes are due to carotid stenosis. [casemed.case.edu]
Epidemiology [ 1 ] Moderate-to-severe asymptomatic carotid atherosclerotic stenosis occurs in 2-5% of European women and 2-8% of European men aged over 60 years. The prevalence is much higher in high-risk groups. Risk factors Increasing age. [patient.info]
Moossy, John (1966) Morphology, sites and epidemiology of cerebral atherosclerosis. In Cerebrovascular Disease. Ass. Res. Nerv. Ment. Dis. 41:1. [cambridge.org]
[…] status Asymptomatic: tend to be homogenous and stable Symptomatic: tend to be heterogeneous and unstable; present with stroke or transient cerebral ischemic attack Degree of stenosis High grade: 80–99% stenosis Moderate grade: 50–79% stenosis Low grade: Epidemiology [unboundmedicine.com]
The analysis indicated that the epidemiology of ruptured AAAs is... [vascularnews.com]
Pathophysiology
Gain fresh perspectives and up-to-date insights from the world’s leading authorities on the pathophysiology, diagnosis, and management of stroke. [books.google.de]
Carotid stump syndrome: Pathophysiology and endovascular treatment options. Cardiovascular and interventional radiology 2011;34(Suppl 2):S48-52. [j-stroke.org]
The possible pathophysiological causes and the treatment of this case are discussed. [spandidos-publications.com]
Posterior Cerebral Artery The posterior cerebral arteries stem in most individuals from the basilar artery but sometimes originate from the ipsilateral internal carotid artery [Garcia JH et al., In Barnett HJM at al (eds) Stroke Pathophysiology, Diagnosis [strokecenter.org]
Prevention
Dual Layer Design Open cell stent platform wrapped in MicroNet mesh MicroNet TM For continuous embolic prevention SmartFit TM Technology Eliminates need for tapered version Carotid Embolic Prevention System The CGuard TM Embolic Prevention System (EPS [inspiremd.com]
(number needed to treat to prevent one stroke at 5 years, 17). [blogs.nejm.org]
Other preventive measures which need consideration are adequate illumination in the working area to visualize any obvious air entry. [neurologyindia.com]
[…] and Hyo Suk Nam and Young Dae Kim and Ji Hoe Heo and Dong Joon Kim}, journal={Journal of neurosurgery}, year={2013}, volume={119 3}, pages={ 642-7 } } OBJECT Carotid artery stenting (CAS) can be an alternative option for carotid endarterectomy in the prevention [semanticscholar.org]
Prevention For primary prevention of cardiovascular disease, see the separate article Cardiovascular Risk Assessment . [patient.info]