title: [A Patient with Advanced Gastric Cancer who Underwent Emergency Stenting for Carotid Artery Stenosis].
abstract: We report the case of a patient with advanced gastric cancer who underwent emergency stenting for carotid artery stenosis that was causing fluctuating symptoms of cerebral ischemic stroke. A 66-year-old man presented with transient dysarthria and right hemifacial palsy. Examination revealed left internal carotid artery stenosis, as well as anemia caused by advanced gastric cancer. The man was treated on an outpatient basis using antiplatelet medication and anti-cancer therapy. Two months later, he developed recurrent ischemic stroke;because of this progression, a stent was placed in the carotid artery. After surgery, the cerebral ischemia resolved and did not recur before his death 6 months later. In conclusion, surgical intervention is a viable treatment option for internal carotid artery stenosis in cancer patients whose general health status is good.
authors.affiliation: Department of Neurosurgery, Kagawa Rosai Hospital.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Matsumoto
authors.forename: Ayumi
authors.initials: A
authors.lastname: Nishida
authors.forename: Atsuhito
authors.initials: A
authors.lastname: Uneda
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Shimizu
authors.forename: Shuichi
authors.initials: S
authors.lastname: Okubo
authors.forename: Koji
authors.initials: K
authors.lastname: Hirashita
authors.forename: Masatoshi
authors.initials: M
authors.lastname: Yunoki
authors.forename: Kimihiro
authors.initials: K
authors.lastname: Yoshino
mesh_terms: D000368:Aged; D016893:Carotid Stenosis / Q000150:complications / Q000188:drug therapy / Q000601:surgery*; D004632:Emergency Medical Services; D017809:Fatal Outcome; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary; D008297:Male; D015607:Stents; D013274:Stomach Neoplasms / Q000150:complications* / Q000473:pathology