title: Reversal of a 30-h fixed deficit with carotid angioplasty and stenting: technical note.
abstract: We describe the case of an 82-year-old man with a fixed neurological deficit of 30 h duration. A left hemispheric perfusion deficit was found on perfusion/diffusion imaging studies in conjunction with an ipsilateral carotid stenosis documented by cerebral angiography. Carotid angioplasty with stent placement was performed and resulted in dramatic clinical improvement. Carotid stenosis can cause acute hemodynamic hypoperfusion with a symptomatic reversible clinical deficit.
authors.affiliation: Department of Neurosurgery, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, NY, USA.
authors.forename: Eric
authors.initials: E
authors.lastname: Sauvageau
authors.forename: Ricardo A
authors.initials: RA
authors.lastname: Hanel
authors.forename: J Christopher
authors.initials: JC
authors.lastname: Wehman
authors.forename: Robert D
authors.initials: RD
authors.lastname: Ecker
authors.forename: Elad I
authors.initials: EI
authors.lastname: Levy
authors.forename: Lee R
authors.initials: LR
authors.lastname: Guterman
authors.forename: L Nelson
authors.initials: LN
authors.lastname: Hopkins
mesh_terms: D000369:Aged, 80 and over; D000800:Angioplasty, Balloon; D016893:Carotid Stenosis / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D002533:Cerebral Angiography; D003937:Diagnosis, Differential; D038524:Diffusion Magnetic Resonance Imaging; D006801:Humans; D008297:Male; D015607:Stents; D020521:Stroke / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D014057:Tomography, X-Ray Computed