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Interhemispheric steal syndrome

R A Musella, G A Berti

    Neurosurgery
    |March 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    This case report details successful treatment of acute left common carotid artery occlusion and interhemispheric steal syndrome. The recommended surgical approach prioritizes the occluded carotid artery, even if symptoms are contralateral.

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    Area of Science:

    • Neurology
    • Vascular Surgery
    • Radiology

    Background:

    • Acute carotid artery occlusion can present with diverse neurological deficits.
    • Interhemispheric steal syndrome is a rare but critical condition affecting cerebral blood flow.
    • Understanding the pathophysiology is key to effective management.

    Observation:

    • A patient presented with left-sided symptoms ipsilateral to a left common carotid artery occlusion.
    • Angiography confirmed left common carotid artery occlusion and right internal carotid artery bulb ulceration.
    • CT scan revealed a right temporal lobe infarct.

    Findings:

    • Diagnosis of interhemispheric steal syndrome was established.
    • Successful treatment involved staged surgical procedures on the carotid arteries.

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  • The initial surgery focused on the acutely occluded left common carotid artery.

    • Implications:

    • The findings support a surgical strategy prioritizing the occluded or most stenosed carotid artery.
    • This approach may be effective even when symptoms appear on the contralateral side.
    • The case highlights the importance of comprehensive vascular assessment in stroke management.