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Common carotid artery occlusion presenting with recurrent syncopal episodes
Author(s) -
Imran Kader,
Steven M. Jones,
Catherine Harrison,
Ferdinand Miteff,
Senthil Kumar
Publication year - 2017
Publication title -
neurology international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.39
H-Index - 16
ISSN - 2035-8377
DOI - 10.4081/ni.2016.6822
Subject(s) - medicine , amaurosis fugax , occlusion , common carotid artery , syncope (phonology) , thrombus , weakness , cardiology , carotid endarterectomy , angiography , surgery , radiology , carotid arteries
Symptomatic common carotid artery (CCA) occlusion is an uncommon occurrence that may require surgical intervention. We aim to describe a case of CCA occlusion that presented with the unusual symptom of recurrent syncope. A 69-year-old lady presented with a history of recurrent syncopal episodes and amaurosis fugax associated with left leg weakness. She was found to have a right CCA occlusion on duplex ultrasound and angiography. She underwent a right common carotid endarterectomy and intraoperative findings revealed a heavily calcified plaque in the CCA just proximal to the bifurcation with organised thrombus filling the CCA proximally. CCA occlusion can rarely present with recurrent syncopal episodes. Surgery may be curative

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