[A case of psychomotor attack induced by the compression of carotid artery (author's transl)].
A patient with psychomotor attack beginning at the age of 60 showed no abnormal finding of EEG at rest, brain CT and other routine examination but cerebroangiography. Bilateral carotid angiography revealed the conspicuous course of anterior cerebral artery and the embryonic pattern of posterior cerebral artery. Vertebroangiography showed no image of the right posterior cerebral artery. Clinically the same as spontaneous attack was induced by the compression of right carotid artery, but the compression of left carotid artery did not provoke attack. From the finding of cerebroangiography above mentioned we guessed that the cerebral circulation impairment based on the abnormal form of Willis' circle and the process of aging caused the attack. This presumption might be supported by the fact the same as spontaneous attack was induced by the compression of right carotid artery. In this case furthermore, the evocability of attack, which the compression of carotid artery showed, was useful as one of indicators by which we judge the effect of antiepilepticus.
D001921:Brain / Q000000981:diagnostic imaging; D002340:Carotid Artery Diseases / Q000150:complications* / Q000503:physiopathology / Q000523:psychology; D002560:Cerebrovascular Circulation; D002941:Circle of Willis / Q000002:abnormalities; D003251:Constriction, Pathologic; D004569:Electroencephalography; D006801:Humans; D008297:Male; D008875:Middle Aged; D011596:Psychomotor Disorders / Q000209:etiology*; D014057:Tomography, X-Ray Computed