title: Bilateral internal carotid artery occlusions resulting in near total acute brain infraction.
abstract: 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.
authors.affiliation: Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA. zubkov.alexander@mayo.edu
authors.forename: Alexander Y
authors.initials: AY
authors.lastname: Zubkov
authors.forename: Bryan T
authors.initials: BT
authors.lastname: Klassen
authors.forename: Melinda S
authors.initials: MS
authors.lastname: Burnett
authors.forename: Alejandro A
authors.initials: AA
authors.lastname: Rabinstein
mesh_terms: 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
chemical_list: D005343:Fibrinolytic Agents; D010959:Tissue Plasminogen Activator