title: Recurrent right hemiplegia associated with progressive ipsilateral carotid artery stenosis.
abstract: BACKGROUND
  Ipsilateral sensory motor symptoms associated with carotid artery stenosis are rare, and few reports are available in the literature.
  
  
  METHODS
  We report the case of a 50-year-old man who presented with right hemiplegia that recurred 14 months later. A left hemisphere watershed infarction was detected. Repeated angiograms showed a left internal carotid occlusion and a right internal carotid stenosis that initially measured 50% and worsened to 80% after the second stroke.
  
  
  CONCLUSIONS
  Repeated quantitative measurements of cerebrovascular reserve demonstrated the hemodynamic mechanism of the strokes and the role of a right internal carotid lesion in causing the recurrence of right hemiplegia.
authors.affiliation: Department of Neurology, INSERM U 230, Hôpital Purpan, Toulouse, France.
authors.forename: F
authors.initials: F
authors.lastname: Chollet
authors.forename: Y
authors.initials: Y
authors.lastname: Rolland
authors.forename: J F
authors.initials: JF
authors.lastname: Albucher
authors.forename: C
authors.initials: C
authors.lastname: Manelfe
authors.forename: J P
authors.initials: JP
authors.lastname: Marc-Vergnes
authors.forename: B
authors.initials: B
authors.lastname: Guiraud-Chaumeil
mesh_terms: D001921:Brain / Q000098:blood supply / Q000000981:diagnostic imaging; D016893:Carotid Stenosis / Q000000981:diagnostic imaging / Q000503:physiopathology*; D002533:Cerebral Angiography; D002544:Cerebral Infarction / Q000000981:diagnostic imaging / Q000503:physiopathology*; D002560:Cerebrovascular Circulation; D007839:Functional Laterality; D006429:Hemiplegia / Q000209:etiology / Q000503:physiopathology*; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008875:Middle Aged; D009460:Neurologic Examination; D012008:Recurrence; D014055:Tomography, Emission-Computed; D014057:Tomography, X-Ray Computed