Presentation
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]
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]
This second edition brings together a combination of all the current evidence-based information with personal experience and is presented by a team of distinguished operators. Short Contents [books.google.com]
A 46-year-old woman without cardiovascular risk factors who was taking oral prednisolone for Sjögren syndrome presented with repeated episodes of transient left hemiparesis and left-sided sensory disturbance over a 2-year period despite preventive therapy [ahajournals.org]
Respiratoric
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Cheyne-Stokes Respiration
Death was preceded by hypertension and Cheyne-Stokes respirations. These animals showed an increased retention of fat emboli within the brain, and a disproportionately high recovery from the pons and midbrain, compared to animals which were killed. [jamanetwork.com]
Gastrointestinal
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Recurrent Abdominal Pain
Browse recently published Learning/CME Learning/CME View all learning/CME CME Conservative Oxygen Therapy during Mechanical Ventilation in the ICU Case 8-2020: An 89-Year-Old Man with Recurrent Abdominal Pain and Bloody Stools Complications of Unsafe [nejm.org]
Eyes
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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
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Hemianesthesia
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]
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Focal Neurologic Deficit
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]
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]
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Throbbing Headache
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]
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Focal Seizure
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]
Workup
However, in the setting of symptoms suggestive of stroke or TIA, workup for this condition may be indicated. [unboundmedicine.com]
QT, RR, ST Intervals
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ST Elevation
Hospital course was complicated by Non ST elevation mycoardial infarction requiring left main stenting as he was not a good candidate for coronary artery bypass grafting. Ten days after the procedure he developed left sided weakness. [crtonline.org]
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]
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]
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]
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
Carotid stump syndrome: Pathophysiology and endovascular treatment options. Cardiovascular and interventional radiology 2011;34(Suppl 2):S48-52. [j-stroke.org]
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]
The possible pathophysiological causes and the treatment of this case are discussed. [spandidos-publications.com]
In Barnett HJM at al (eds) Stroke Pathophysiology, Diagnosis, and Management New York Churchill Livingstone 1992 125]. The posterior arteries supply the temporal and occipital lobes of the left cerebral hemisphere and the right hemisphere. [strokecenter.org]
Prevention
[…] 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]
Stents have had a significantly high impact on endoluminal treatment outcomes by preventing injury to the lumen, reducing the potential for hyperplasia and restenosis, as well as the likelihood of plaque disruption and embolization. [books.google.com]
Conclusions: Identification factors predisposing patients susceptible to embolic risk and judicious selection of instrumentation across the vulnerable plaque during the procedure are important considerations in preventing this complication. [amjcaserep.com]
Object Carotid artery stenting (CAS) can be an alternative option for carotid endarterectomy in the prevention of ischemic stroke caused by carotid artery stenosis. [thejns.org]
If your neurosurgeon thinks your aneurysm may rupture, they may recommend preventative surgery to fill it with metal coils or seal it shut. [cuh.nhs.uk]