Bilateral Atherosclerotic Internal Carotid Artery Occlusion with Intact Cerebral Glucose Metabolism: A Case Report.
Bilateral Atherosclerotic Internal Carotid Artery Occlusion with Intact Cerebral Glucose Metabolism: A Case Report.
复制标题
双侧动脉粥样硬化颈内动脉闭塞伴完整脑葡萄糖代谢:病例报告。
DOI:
10.1016/j.jstrokecerebrovasdis.2015.03.059
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发表时间:
2015
期刊:
影响因子:
--
通讯作者:
Li’an Huang
中科院分区:
文献类型:
--
作者:
Zhilin Xiong;Xueying Lin;Wei Bi;Wenxian Li;Zhen Jing;Li’an Huang
BackgroundMild neurologic deficits concomitant with bilateral internal carotid artery occlusion (BICAO) is very rare and its treatment is still unclear.Case ReportHerein, we report a case of a 67-year-old man with BICAO. The collateral circulation was rich, the symptoms were mild, and only standard pharmacotherapy was prescribed. Follow-up Mini-Mental State Examination, fluorine-18-fluorodeoxyglucose positron emission tomography, and magnetic resonance perfusion-weighted imaging were performed for 6 months.ResultsThe results showed uniform reduction in perfusion throughout the brain, normal glucose uptake by the brain, and no ischemic events and cognitive impairment during the follow-up period.ConclusionsFor BICAO patients who are with mild neurologic deficits and good cerebral collateral and metabolism, the timely administration of pharmacotherapy might be safe and effective. Thus, in our patient, a favorable prognosis was achieved, but further follow-up is still required.
影响因子:
4.1
作者:
Grubb RL Jr;Powers WJ;Clarke WR;Videen TO;Adams HP Jr;Derdeyn CP;Carotid Occlusion Surgery Study Investigators
通讯作者:
Carotid Occlusion Surgery Study Investigators