title: Embolic stroke after carotid artery ligation during carotid body tumor resection.
abstract: This report describes a case of a delayed cerebral embolic infarction, after internal carotid artery (ICA) ligation secondary to carotid body tumor resection. We describe a 34-year-old woman who underwent left ICA ligation during a large carotid body tumor surgery. Immediately after surgery, the patient was neurologically asymptomatic; however, she subsequently developed a cerebral embolic infarction nine hours postoperatively. After beginning antiplatelet therapy, all symptoms ultimately resolved, although over a gradual course. Since the ligation of the ICA can cause thromboembolic infarctions of the cerebrum, we contend that antiplatelet agents be administered to prevent and/or treat embolic strokes.
authors.affiliation: Department of Surgery, Chung-Ang University Seoul, Korea.
authors.forename: Hyangkyoung
authors.initials: H
authors.lastname: Kim
authors.forename: Yong-Pil
authors.initials: YP
authors.lastname: Cho
authors.forename: Ki-Myung
authors.initials: KM
authors.lastname: Moon
authors.forename: Tae-Won
authors.initials: TW
authors.lastname: Kwon
mesh_terms: D000328:Adult; D002343:Carotid Artery, Internal / Q000503:physiopathology / Q000601:surgery*; D002345:Carotid Body Tumor / Q000175:diagnosis / Q000601:surgery*; D002533:Cerebral Angiography; D002560:Cerebrovascular Circulation; D004617:Embolism / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology; D005260:Female; D006801:Humans; D008026:Ligation; D018810:Magnetic Resonance Angiography; D010975:Platelet Aggregation Inhibitors / Q000008:administration & dosage; D020521:Stroke / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology; D013997:Time Factors; D015899:Tomography, Emission-Computed, Single-Photon; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000009:adverse effects*
chemical_list: D010975:Platelet Aggregation Inhibitors