Sequential mechanical thrombectomies in acute bilateral middle cerebral artery strokes: A case report and review of literature.

Autor: Phuyal S; Department of Neuroimaging, Interventional Neuroradiology, Kathmandu, Nepal., Pokhrel B; Department of Neurology, Upendra Devkota Memorial National Institute of Neurological and Allied Sciences, Kathmandu, Nepal., Lamsal R; Department of Anaethesiology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal., Mishra B; Department of Neurology, All India Institute of Medical Sciences, New Delhi, India., Nayak MK; Department of Radiodiagnosis, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Jazyk: angličtina
Zdroj: Journal of neurosciences in rural practice [J Neurosci Rural Pract] 2024 Apr-Jun; Vol. 15 (2), pp. 381-383. Date of Electronic Publication: 2024 Mar 12.
DOI: 10.25259/JNRP_26_2024
Abstrakt: Simultaneous occlusion of both middle cerebral arteries (MCAs) is very rare and usually devastating. Few case reports are available in the literature where bilateral thrombectomy was done simultaneously to remove the clot. High NIH stroke scale with a low level of consciousness can be a clue for the diagnosis. Timely intervention is necessary to decrease morbidity and mortality in these patients. We also reviewed the existing literature where mechanical thrombectomies were done for bilateral MCA stroke in PubMed, Google Scholar, Cochrane, and Embase. Herein, we report a case of 47-year-old female having rheumatic heart disease presented with simultaneous bilateral MCAs occlusion, treated with mechanical thrombectomies successfully.
Competing Interests: There are no conflicts of interest.
(© 2024 Published by Scientific Scholar on behalf of Journal of Neurosciences in Rural Practice.)
Databáze: MEDLINE