Related Experiment Video
Updated: May 10, 2026
13:01
Intraluminal Middle Cerebral Artery Occlusion (MCAO) Model for Ischemic Stroke with Laser Doppler Flowmetry Guidance in Mice
Published on: May 8, 2011
Coiled internal carotid arteries associated with bilateral sequential strokes.
Gary G Tse1, Elna M Masuda, Aaron M McMurtray
1Department of Medicine, University of Hawaii, 1356 Lusitana Street, 7th Floor, Honolulu, HI 96813, USA.
Case Reports in Vascular Medicine
|June 14, 2013
Summary
The risk of stroke after coiling the internal carotid artery without atherosclerotic disease is unclear. This case study examines stroke risk and management in a patient with bilateral coiled arteries.
Area of Science:
- Neurology
- Vascular Surgery
- Interventional Neuroradiology
Background:
- The management of cervical internal carotid artery coiling, particularly in the absence of atherosclerotic carotid bulb lesions, presents unclear stroke risks.
- Bilateral sequential strokes are a rare complication, necessitating further investigation into associated risk factors and management strategies.
Purpose of the Study:
- To report a unique case of bilateral sequential strokes in a young woman with bilateral coiled internal carotid arteries.
- To discuss the potential risks of stroke and explore management options for coiled carotid arteries in non-atherosclerotic cases.
Main Methods:
- Case report of a 39-year-old woman with bilateral sequential strokes.
- Review of clinical presentation, diagnostic findings, and treatment of bilateral coiled internal carotid arteries.
- Discussion of existing literature regarding stroke risk and management in similar cases.
Main Results:
- The patient, a 39-year-old woman, experienced bilateral sequential strokes.
- These strokes were associated with bilateral coiled internal carotid arteries.
- The absence of atherosclerotic carotid bulb lesions complicates the understanding of stroke etiology.
Conclusions:
- The case highlights the potential for stroke in patients with coiled internal carotid arteries, even without traditional atherosclerotic risk factors.
- Further research is needed to clarify the specific risks and optimal management strategies for this patient population.
- This case underscores the importance of individualized risk assessment and management in interventional neuroradiology.
Related Concept Videos
01:10The Arch of Aorta
The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
Encircling the heart, the coronary arteries form a ring-like structure before...
Encircling the heart, the coronary arteries form a ring-like structure before...
01:26Arteries of the Head and Neck
The human body's intricate network of arteries ensures that every organ system receives the necessary oxygen and nutrients for optimal function. The arterial network in the head and neck region is particularly complex, providing vital blood flow to the brain, eyes, and other critical structures. Prominent arteries in this region include the internal carotid arteries and the vertebral arteries.
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
01:15Ischemic Stroke l: Introduction
Ischemic stroke is an acute cerebrovascular condition in which blood flow to a brain region is suddenly interrupted, leading to tissue infarction. Neurons depend on continuous oxygen and glucose supply, so even brief reductions in perfusion cause energy failure, ionic imbalance, and irreversible injury. Ischemic strokes are classified into thrombotic and embolic types based on their underlying mechanisms.Thrombotic MechanismsThrombotic stroke develops when a clot forms within a cerebral artery.
01:26Transient Ischemic Attack l: Introduction
A transient ischemic attack (TIA) is a brief episode of neurological dysfunction caused by a temporary, focal reduction in cerebral blood flow. Although symptoms resemble those of an ischemic stroke, the interruption in perfusion is short-lived and does not cause permanent infarction. TIAs are clinically important because they often serve as early warning events for future stroke.Mechanisms of Transient Cerebral IschemiaTransient cerebral ischemia may arise through several mechanisms. One...