A case of spontaneous dissection of the extracranial internal carotid artery with urgent carotid artery stenting

DOI Web Site
  • Tasaka Kenta
    Department of Neurosurgery, Funabashi Municipal Medical Center
  • Niimi Jun
    Department of Neurosurgery, Funabashi Municipal Medical Center
  • Nemoto Fumio
    Department of Neurosurgery, Funabashi Municipal Medical Center
  • Moriwaki Takuya
    Department of Neurosurgery, Funabashi Municipal Medical Center
  • Hatayama Kazumi
    Department of Neurosurgery, Funabashi Municipal Medical Center
  • Naito Hiromichi
    Department of Neurosurgery, Funabashi Municipal Medical Center

Bibliographic Information

Other Title
  • 緊急頸動脈ステント留置術を施行した特発性頭蓋外内頸動脈解離の1例
  • 症例報告 緊急頸動脈ステント留置術を施行した特発性頭蓋外内頸動脈解離の1例
  • ショウレイ ホウコク キンキュウ ケイドウミャク ステント リュウチジュツ オ シコウ シタ トクハツセイ ズガイ ガイ ナイ ケイドウミャク カイリ ノ 1レイ

Search this article

Description

Objective: We report a case in which urgent carotid artery stenting was performed for spontaneous dissection of the extracranial internal carotid artery (ICA).<br>Case: A 46-year-old male presented to our hospital with the weakness of left upper limb and dysarthria. Cerebral angiography revealed irregularities of the carotid wall and severe stenosis of ICA, stasis of the contrast agent, and delayed cerebral blood flow in the right extracranial ICA. Based on these observations, ICA dissection was diagnosed. Although our intensive medical treatment, including blood pressure control and administration of antiplatelet drug, thirteen days after onset, his neurological symptoms were suddenly worsened and increased cerebral infarctions on magnetic resonance imaging (MRI). We performed urgent carotid artery stenting. ICA morphology and cerebral blood flow were improved. The patient was transferred to a rehabilitation hospital on day 33.<br>Conclusion: Percutaneous carotid artery stenting is useful for dissection of the extracranial ICA that exhibit resistance to medical treatment.

Journal

Keywords

Details 詳細情報について

Report a problem

Back to top