Open AccessBilateral Internal Carotid Arteries Occlusion: A Case Report
Author(s) -
Prabhaw Upadhyaya,
Prasanna Karki,
BR Pokharel,
Gopal Raman Sharma
Publication year - 2022
Publication title -
journal of nepal medical association
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.176
H-Index - 19
eISSN - 1815-672X
pISSN - 0028-2715
DOI - 10.31729/jnma.6877
Subject(s) - medicine , occlusion , collateral circulation , internal carotid artery , perfusion , perfusion scanning , cardiology , radiology , angiography , computed tomography angiography
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.