Recurrent embolic stroke caused by large cavernous carotid aneurysm: Stroke recurrence prevention with high-flow bypass followed by proximal occlusion
| Autor: | Isamu Saito, Hideaki Ono, Tomohiro Inoue, Akira Iijima, Akira Tamura, Takeo Tanishima |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
recurrence medicine.medical_treatment External carotid artery Case Report Revascularization Aneurysm embolic stroke medicine.artery Internal medicine Cavernous carotid aneurysm medicine cardiovascular diseases Stroke high-flow bypass business.industry General Medicine medicine.disease Thrombosis proximal occlusion medicine.anatomical_structure Middle cerebral artery cardiovascular system Cardiology Trigeminal artery Internal carotid artery business |
| Zdroj: | Asian Journal of Neurosurgery |
| ISSN: | 2248-9614 1793-5482 |
| DOI: | 10.4103/ajns.ajns_72_18 |
| Popis: | Intracranial aneurysms may cause embolic stroke. Medical or surgical management is selected on an individual basis, as the optimal treatment strategy has not been established. A 79-year-old woman with a large cavernous carotid aneurysm suffered repeated embolic stroke after enlargement and partial thrombosis of the aneurysm, in spite of antiplatelet therapy. Coil embolization of the primitive trigeminal artery and ligation of the internal carotid artery (ICA) at the cervical portion followed by high-flow bypass from the cervical external carotid artery to the middle cerebral artery were performed. The aneurysm was thrombosed, and prevention of further stroke was achieved. Acute enlargement and thrombosis of large or giant cavernous carotid aneurysm may cause repeated embolic stroke, and requires emergent exclusion of the aneurysm from circulation by proximal ICA occlusion together with distal revascularization before devastating embolic stroke occurs. |
| Databáze: | OpenAIRE |
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