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Cerebral perfusion imaging in asymptomatic carotid artery occlusion following gun shot
H H Abu-Judeh1, H M Abdel-Dayem, H El-Zeftawy
1Department of Radiology, St. Vincent's Hospital and Medical Center of New York, New York Medical College, Valhalla 10011, USA.
Abstract:
Recognition of brain injury in asymptomatic carotid artery injuries with conventional methods can be difficult. We present a case of angiographically proven asymptomatic left internal carotid artery occlusion with normal CT after a gunshot wound. The SPECT brain perfusion imaging showed mild generalized supratentorial hypoperfusion of the bilateral cerebral cortices on the left side and severe left temporal lobe hypoperfusion.