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Bilateral Internal Carotid Arteries Occlusion: A Case Report
Prabhaw Upadhyaya1, Prasanna Karki2, Baburam Pokharel1
1Department of Neurosciences, Division of Neurology, Nepal Mediciti, Sainbu, Bhaisepati, Lalitpur, Nepal.
Bilateral internal carotid artery occlusion is rare. This case highlights successful thrombolysis and dual antiplatelet therapy improving stroke symptoms in a smoker.
Area of Science:
- Neurology
- Vascular Neurology
- Neuroimaging
Background:
- Bilateral internal carotid artery occlusion is an uncommon cerebrovascular condition.
- Prompt diagnosis and intervention are crucial for patient outcomes.
Observation:
- A 54-year-old female smoker presented with acute neurological deficits.
- Computed tomography angiography revealed bilateral internal carotid artery occlusion with compensatory vertebrobasilar collateral flow.
- Cerebral perfusion imaging demonstrated significant left-sided hypoperfusion.
Findings:
- The patient received thrombolysis and dual antiplatelet therapy.
- Significant improvement in motor function and speech was observed post-treatment.
Implications:
- This case underscores the importance of considering rare vascular events in acute stroke presentations.
- Effective management strategies can lead to favorable neurological recovery.
- Further research into optimal anticoagulation and reperfusion techniques for this condition is warranted.
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