Bilateral internal carotid artery occlusions resulting in near total acute brain infraction.
Acute bilateral acute carotid arteries occlusion is a very rare condition. We describe a patient with initial right middle cerebral artery syndrome who developed coma and quadriplegia 1 h after thrombolysis with intravenous tPA and was found to have bilateral cervical internal carotid artery occlusion.
Zubkov
Alexander Y
AY
Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA. zubkov.alexander@mayo.edu
Klassen
Bryan T
BT
Burnett
Melinda S
MS
Rabinstein
Alejandro A
AA
D000368:Aged; D020520:Brain Infarction / Q000209:etiology*; D002343:Carotid Artery, Internal; D016893:Carotid Stenosis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006801:Humans; D008297:Male; D015912:Thrombolytic Therapy; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use
D005343:Fibrinolytic Agents; D010959:Tissue Plasminogen Activator