Treatment of transiently symptomatic acute internal carotid artery occlusion: learning from the interventional field.
A 69-year-old man experienced left hemiparesis and confusion of sudden onset, followed by complete spontaneous recovery after about 20 minutes. When carotid ultrasound was performed in the neurovascular unit 12 hours later, an occluded right internal carotid artery was found. Transcranial ultrasound showed normal flow in the right middle and anterior cerebral arteries. How should he be treated?
Beretta
Simone
S
Acute Stroke Unit, Department of Neurology, San Gerardo Hospital, University of Milano-Bicocca, Monza, Italy. simone.beretta@unimib.it
Boccardi
Edoardo
E
Santoro
Patrizia
P
Pappadà
Giovanni
G
Ferrarese
Carlo
C
D000368:Aged; D000925:Anticoagulants / Q000627:therapeutic use; D001241:Aspirin / Q000627:therapeutic use; D016893:Carotid Stenosis / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D002536:Cerebral Arteries / Q000503:physiopathology; D002560:Cerebrovascular Circulation; D003221:Confusion / Q000209:etiology; D016894:Endarterectomy, Carotid; D006801:Humans; D008297:Male; D010291:Paresis / Q000209:etiology; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D012720:Severity of Illness Index; D015912:Thrombolytic Therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000925:Anticoagulants; D010975:Platelet Aggregation Inhibitors; D001241:Aspirin