Document Detail


Spontaneous recanalization of a middle cerebral artery occlusion with subsequent carotid endarterectomy.
MedLine Citation:
PMID:  19782507     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report the case of a 55-year-old man who presented with a left hemisphere stroke. The initial computed tomography scan demonstrated a cerebral infarct in association with a left middle cerebral artery occlusion. Carotid duplex ultrasound imaging revealed a surgical grade stenosis of the proximal left internal carotid artery; however, in view of the uncertain benefits of internal carotid endarterectomy in the face of ipsilateral middle cerebral artery occlusion, surgery was deferred. Subsequent surveillance by transcranial Doppler imaging and repeat computed tomography demonstrated spontaneous recanalization. The patient proceeded to carotid endarterectomy with no complications.
Authors:
Andrew J Jackson; Amit Patel; Bryce Renwick; Mark Ablett; Ian McMillan
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-09-26
Journal Detail:
Title:  Journal of vascular surgery     Volume:  50     ISSN:  1097-6809     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-12-04     Completed Date:  2009-12-21     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1493-5     Citation Subset:  IM    
Affiliation:
Ayr District General Hospital, Ayr, United Kingdom.
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MeSH Terms
Descriptor/Qualifier:
Carotid Stenosis / complications,  diagnosis,  physiopathology,  surgery*
Cerebral Angiography / methods
Cerebrovascular Circulation
Endarterectomy, Carotid*
Humans
Infarction, Middle Cerebral Artery / diagnosis,  drug therapy*,  etiology,  physiopathology
Male
Middle Aged
Platelet Aggregation Inhibitors / therapeutic use*
Pulsatile Flow
Regional Blood Flow
Severity of Illness Index
Stroke / diagnosis,  drug therapy*,  etiology,  physiopathology
Tomography, X-Ray Computed
Treatment Outcome
Ultrasonography, Doppler, Duplex
Ultrasonography, Doppler, Transcranial
Vascular Patency
Chemical
Reg. No./Substance:
0/Platelet Aggregation Inhibitors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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