A Case of Bilateral Internal Carotid Artery Complete Occlusion

Complete bilateral intracranial internal carotid artery occlusion is a rare disease with grave prognosis. It may cause recurrent stroke and extensive disability. We discuss a case of 62-year-old man who presented with sudden onset right sided hemiplegia, and GCS 7/15. CT scan revealed acute ischemic...

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Main Authors: Mrugal Doshi, Arti Muley, Sunil Kumar, Sukhaswarup Kanojiya
Format: Article
Language:English
Published: Wolters Kluwer – Medknow Publications 2019-07-01
Series:Journal of Integrated Health Sciences
Subjects:
Online Access:https://journals.lww.com/10.4103/JIHS.JIHS_28_19
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author Mrugal Doshi
Arti Muley
Sunil Kumar
Sukhaswarup Kanojiya
author_facet Mrugal Doshi
Arti Muley
Sunil Kumar
Sukhaswarup Kanojiya
author_sort Mrugal Doshi
collection DOAJ
description Complete bilateral intracranial internal carotid artery occlusion is a rare disease with grave prognosis. It may cause recurrent stroke and extensive disability. We discuss a case of 62-year-old man who presented with sudden onset right sided hemiplegia, and GCS 7/15. CT scan revealed acute ischemic infarct in left MCA territory with mass effect and compression over the left lateral and third ventricle. Cerebral angiography showed bilateral intracranial internal carotid artery and middle cerebral artery occlusion. We present the case in view of wide range of presentation which depends on collateral formation and lack of specific guidelines for management.
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language English
publishDate 2019-07-01
publisher Wolters Kluwer – Medknow Publications
record_format Article
series Journal of Integrated Health Sciences
spelling doaj-art-944c558e1e1b40c39e5f3a0946e8bea72025-08-20T02:12:18ZengWolters Kluwer – Medknow PublicationsJournal of Integrated Health Sciences2347-64862347-64942019-07-0172656810.4103/JIHS.JIHS_28_19A Case of Bilateral Internal Carotid Artery Complete OcclusionMrugal DoshiArti MuleySunil KumarSukhaswarup KanojiyaComplete bilateral intracranial internal carotid artery occlusion is a rare disease with grave prognosis. It may cause recurrent stroke and extensive disability. We discuss a case of 62-year-old man who presented with sudden onset right sided hemiplegia, and GCS 7/15. CT scan revealed acute ischemic infarct in left MCA territory with mass effect and compression over the left lateral and third ventricle. Cerebral angiography showed bilateral intracranial internal carotid artery and middle cerebral artery occlusion. We present the case in view of wide range of presentation which depends on collateral formation and lack of specific guidelines for management.https://journals.lww.com/10.4103/JIHS.JIHS_28_19aphasiabilateral intracranial internal carotid artery occlusionhemiplegiastuporous
spellingShingle Mrugal Doshi
Arti Muley
Sunil Kumar
Sukhaswarup Kanojiya
A Case of Bilateral Internal Carotid Artery Complete Occlusion
Journal of Integrated Health Sciences
aphasia
bilateral intracranial internal carotid artery occlusion
hemiplegia
stuporous
title A Case of Bilateral Internal Carotid Artery Complete Occlusion
title_full A Case of Bilateral Internal Carotid Artery Complete Occlusion
title_fullStr A Case of Bilateral Internal Carotid Artery Complete Occlusion
title_full_unstemmed A Case of Bilateral Internal Carotid Artery Complete Occlusion
title_short A Case of Bilateral Internal Carotid Artery Complete Occlusion
title_sort case of bilateral internal carotid artery complete occlusion
topic aphasia
bilateral intracranial internal carotid artery occlusion
hemiplegia
stuporous
url https://journals.lww.com/10.4103/JIHS.JIHS_28_19
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AT sukhaswarupkanojiya acaseofbilateralinternalcarotidarterycompleteocclusion
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