Stent-assisted thrombolysis in acute tandem carotid and middle cerebral arteries occlusion.
نویسندگان
چکیده
A 45 year old right-handed man was admitted to our hospital 2.25 hours after an acute episode of aphasia, right-sided hemiplegia, hypoesthesia, and hemianopsia followed by deterioration in consciousness. The National Institutes of Health Stroke Scale (NIHSS) score was 22. His medical history was unremarkable. Head computed tomography demonstrated subtle hypodensity of the left insular ribbon, lentiform nucleus, corona radiata, and body of caudate nucleus, with hemispheric cortico-subcortical sparing. Cervical and cerebral CT angiography revealed complete occlusion of the left ICA and occlusion of the left MCA. The left anterior cerebral artery was visible, with the left ICA supplying both ACAs. The patient was intubated and angiography was started 4 hours after symptom onset. Endovascular treatment was performed under general anesthesia with an 8F access sheath placed in the right femo-
منابع مشابه
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ورودعنوان ژورنال:
- The Israel Medical Association journal : IMAJ
دوره 12 12 شماره
صفحات -
تاریخ انتشار 2010