| Spontaneous early recanalization of an acute symptomatic critical stenosis of the extracranial internal carotid artery: a case report. | |
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MedLine Citation:
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PMID: 18395413 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We present a 63-year-old female with critical stenosis of the extracranial portion of the internal carotid artery (ICA), diagnosed using color-coded Duplex ultrasonography (CCDU) and magnetic resonance imaging. Nine days later, the patient showed profound clinical improvement, at which time spontaneous recanalization of the previously highly stenosed ICA was seen in follow-up CCDU and magnetic resonance angiography (MRA) and confirmed by three-dimensional computed tomography angiography (CTA). The detection of recanalization is important in predicting the patient's prognosis and deciding a suboptimal secondary prophylaxis strategy of medical or surgical treatment. Therefore, we suggest performing imaging studies immediately in patients, especially potential surgical or stenting candidates showing great changes in neurological function, through examination with CCDU and confirmation with MRA or CTA, all safe and minimally invasive methods, to see whether recanalization has occurred. |
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Authors:
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Fu-Chi Yang; Jiann-Chyun Lin; Cheng-Yu Chen; Giia-Sheun Peng |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2008-04-18 |
Journal Detail:
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Title: Annals of vascular surgery Volume: 22 ISSN: 1615-5947 ISO Abbreviation: Ann Vasc Surg Publication Date: 2008 May-Jun |
Date Detail:
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Created Date: 2008-05-09 Completed Date: 2008-06-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8703941 Medline TA: Ann Vasc Surg Country: United States |
Other Details:
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Languages: eng Pagination: 469-72 Citation Subset: IM |
Affiliation:
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Department of Neurology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC. fuji-yang@yahoo.com.tw |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Carotid Artery, Internal / pathology*, physiopathology Carotid Stenosis / complications, pathology*, physiopathology, therapy Cerebral Angiography Cerebral Infarction / etiology*, pathology, physiopathology, therapy Cerebrovascular Circulation Critical Illness Dysarthria / etiology, pathology Female Hemiplegia / etiology, pathology Humans Magnetic Resonance Angiography Middle Aged Patient Selection Prognosis Remission, Spontaneous Time Factors Tomography, X-Ray Computed Ultrasonography, Doppler, Color Vascular Patency |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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