Reversal of a 30-h fixed deficit with carotid angioplasty and stenting: technical note.
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.
Sauvageau
Eric
E
Department of Neurosurgery, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, NY, USA.
Hanel
Ricardo A
RA
Wehman
J Christopher
JC
Ecker
Robert D
RD
Levy
Elad I
EI
Guterman
Lee R
LR
Hopkins
L Nelson
LN
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