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[Bilateral carotid artery occlusion. Analysis of 9 cases]
L Milandre1, C Gueriot, R Khalil
1Clinique Neurologique, Marseille.
Acta Neurologica Belgica
|March 1, 1988
Insights
Bilateral internal carotid artery occlusion is rare. This study reviews 9 cases, examining risk factors, presentation, outcomes, and the crucial role of collateral circulation in patient recovery.
Area of Science:
- Vascular Neurology
- Cerebrovascular Diseases
- Neuroimaging
Background:
- Bilateral internal carotid artery occlusion (BICAO) is a significant cause of stroke.
- Understanding BICAO requires analysis of risk factors, clinical presentation, and long-term outcomes.
- Collateral circulation plays a vital role in mitigating the effects of major artery blockages.
Purpose of the Study:
- To review a series of 9 cases of bilateral internal carotid artery occlusion.
- To analyze risk factors, clinical presentation, and patient outcomes.
- To discuss the significance of collateral circulation based on imaging findings.
Main Methods:
- Retrospective case series review of 9 patients with BICAO.
- Analysis of clinical data, including risk factors and neurological presentation.
- Review of angiographic and computed tomography (CT) scan features to assess collateral pathways.
Main Results:
- Detailed review of 9 cases with long-term follow-up.
- Identification and analysis of common risk factors associated with BICAO.
- Correlation of clinical outcomes with the extent and pattern of collateral circulation.
Conclusions:
- Bilateral internal carotid artery occlusion necessitates a thorough understanding of associated risk factors and clinical manifestations.
- Collateral circulation significantly influences patient outcomes in cases of BICAO.
- Angiographic and CT imaging are essential for evaluating collateral networks and predicting prognosis.
Abstract:
The authors report on a series of 9 cases of bilateral internal carotid artery occlusion with long-term follow-up. Risk factors, clinical presentation and outcome have been reviewed. On basis of angiographic and CT scan features, the role of collateral circulation is discussed.