Document Detail

Cardiogenic embolism producing crescendo transient ischemic attacks.
MedLine Citation:
PMID:  16027994     Owner:  NLM     Status:  MEDLINE    
Lateralizing, repetitive transient ischemic attacks are characteristic of symptomatic carotid bifurcation atherosclerotic plaques. We report a case in which a cardiogenic embolus, after lodging at the left carotid bifurcation, produced crescendo episodes of expressive aphasia and mild right upper extremity weakness. Complete neurological recovery was achieved following emergent carotid embolectomy and endarterectomy. This case demonstrates that the laminar nature of internal carotid blood flow may result in the localization of embolic events to a single region of the cerebral vasculature, regardless of the source lesion in the carotid artery. The role of endoluminal techniques in the diagnosis and management of such lesions is discussed.
Patrick J Geraghty; Jack Oak; Eric T Choi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of vascular surgery     Volume:  19     ISSN:  0890-5096     ISO Abbreviation:  Ann Vasc Surg     Publication Date:  2005 Sep 
Date Detail:
Created Date:  2005-08-31     Completed Date:  2005-12-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703941     Medline TA:  Ann Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  728-30     Citation Subset:  IM    
Department of Surgery, Section of Vascular Surgery, Washington University School of Medicine, 660 S. Euclid Avenue, Campus Box 8109, St. Louis, MO, 63110-1094, USA.
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MeSH Terms
Aged, 80 and over
Anticoagulants / therapeutic use
Atrial Fibrillation / complications
Carotid Artery Diseases / etiology*,  radiography,  surgery
Endarterectomy, Carotid
Heart Diseases / etiology*
Intracranial Embolism / etiology*
Ischemic Attack, Transient / etiology*
Thrombosis / etiology*
Reg. No./Substance:

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