Bilateral common carotid artery occlusion--a case report and literature review.
Although unilateral common carotid artery (CCA) occlusion and bilateral internal carotid artery (ICA) occlusion have been reported in the past, bilateral CCA occlusion is rare. The management and mechanism of unilateral CCA occlusion and bilateral ICA occlusion are debatable, but those of bilateral CCA occlusion are largely unknown. Herein, we present a case of bilateral CCA occlusion that had an acceptable outcome with medical treatment. The literature regarding unilateral CCA occlusion, bilateral ICA occlusion and bilateral CCA occlusion is also discussed. Experience implies that the collateral circulation gives rise to the clinical presentation, and may affect the outcome of various managements. Our review and case study may provide new information for future studies of carotid artery occlusion.
Lai
Shiao-Lin
SL
Department of Neurology, Chiayi, Chang Gung Memorial Hospital, Taiwan.
Chen
Yi-Chun
YC
Weng
Hsu-Huei
HH
Chen
Sien-Tsong
ST
Hsu
Shih-Pin
SP
Lee
Tsong-Hai
TH
D001921:Brain / Q000473:pathology; D016893:Carotid Stenosis / Q000473:pathology*; D004244:Dizziness / Q000209:etiology; D004562:Electrocardiography; D007839:Functional Laterality / Q000502:physiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D012907:Smoking