Bilateral Internal Carotid Arteries Occlusion: A Case Report

Bilateral internal carotid artery occlusion is a disease that is encountered rarely. We report a case of a 54 years old female smoker, who presented with acute onset right-sided limb weakness, facial deviation and slurring of speech. On computed tomography angiography occlusion of the bilateral inte...

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Bibliographic Details
Published inJNMA; journal of the Nepal Medical Association Vol. 60; no. 246; pp. 207 - 210
Main Authors Upadhyaya, Prabhaw, Karki, Prasanna, Pokharel, Baburam, Sharma, Gopal Raman
Format Journal Article
LanguageEnglish
Published Nepal Journal of the Nepal Medical Association 01.02.2022
Nepal Medical Association
Subjects
Angiography
Carotid Artery, Internal - diagnostic imaging
Case Report
Cerebral Angiography
Computed Tomography Angiography
Female
Humans
internal carotid arteries
ischemic stroke
Middle Aged
thrombolysis
case report internal carotid arteries; ischemic stroke; thrombolysis
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Summary:Bilateral internal carotid artery occlusion is a disease that is encountered rarely. We report a case of a 54 years old female smoker, who presented with acute onset right-sided limb weakness, facial deviation and slurring of speech. On computed tomography angiography occlusion of the bilateral internal carotid artery was seen and a high-flow collateral circulation was formed through the vertebrobasilar system. Computed tomography brain perfusion showed marked cerebral hypoperfusion on the left side. The patient was thrombolysed and kept on dual antiplatelet therapy. Post-medical treatment, motor power and speech significantly improved.
ISSN:0028-2715
1815-672X
DOI:10.31729/jnma.6877