title: [A case of common carotid artery dissection showing remission in short-term].
abstract: We report a case of left common carotid artery dissection showing complete remission in the short term. A 48-year-old man presented a 1-week history of weakness in the right arm. Neurological findings revealed mild motor weakness of the right upper extremity. Magnetic resonance imaging (MRI) showed sporadic cerebral infarction and hemorrhagic infarction in the area of the left middle cerebral artery (MCA) and the posterior border zone. Computed tomographic angiography (CTA) revealed irregular stenosis with a smooth surface in the left common carotid artery and ultrasonography indicated an iso-echoic lesion in the same area. ECD-single-photon emission tomography (SPECT) showed low perfusion only in the infarcted territory. Conservative therapy using a free radical scavenger and aspirin was carried out and the patient displayed full neurological recovery. After a 3-week follow-up period, carotid angiography and CTA showed almost complete disappearance of the stenotic lesion.
authors.affiliation: Department of Neurosurgery, Ehime University School of Medicine, Japan.
authors.forename: Akihiro
authors.initials: A
authors.lastname: Inoue
authors.forename: Shin-ya
authors.initials: SY
authors.lastname: Fukumoto
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Kumon
authors.forename: Hideaki
authors.initials: H
authors.lastname: Watanabe
authors.forename: Noriyuki
authors.initials: N
authors.lastname: Fumoto
authors.forename: Shogo
authors.initials: S
authors.lastname: Oda
authors.forename: Shiro
authors.initials: S
authors.lastname: Ohue
authors.forename: Takanori
authors.initials: T
authors.lastname: Ohnishi
mesh_terms: D000784:Aortic Dissection / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000188:drug therapy*; D000983:Antipyrine / Q000008:administration & dosage / Q000031:analogs & derivatives*; D001241:Aspirin / Q000008:administration & dosage; D002340:Carotid Artery Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000188:drug therapy*; D017536:Carotid Artery, Common / Q000000981:diagnostic imaging; D004359:Drug Therapy, Combination; D000077553:Edaravone; D006801:Humans; D020244:Infarction, Middle Cerebral Artery / Q000150:complications*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D012074:Remission Induction; D018084:Ultrasonography, Interventional
chemical_list: D001241:Aspirin; D000077553:Edaravone; D000983:Antipyrine