Jackson Andrew J, Patel Amit, Renwick Bryce, Ablett Mark, McMillan Ian
Ayr District General Hospital, Ayr, United Kingdom.
J Vasc Surg. 2009 Dec;50(6):1493-5. doi: 10.1016/j.jvs.2009.07.074. Epub 2009 Sep 26.
We report the case of a 55-year-old man who presented with a left hemisphere stroke. The initial computed tomography scan demonstrated a cerebral infarct in association with a left middle cerebral artery occlusion. Carotid duplex ultrasound imaging revealed a surgical grade stenosis of the proximal left internal carotid artery; however, in view of the uncertain benefits of internal carotid endarterectomy in the face of ipsilateral middle cerebral artery occlusion, surgery was deferred. Subsequent surveillance by transcranial Doppler imaging and repeat computed tomography demonstrated spontaneous recanalization. The patient proceeded to carotid endarterectomy with no complications.
我们报告了一例55岁男性患者，其出现左侧半球卒中。最初的计算机断层扫描显示脑梗死伴左侧大脑中动脉闭塞。颈动脉双功超声成像显示左侧颈内动脉近端存在手术级别的狭窄；然而，鉴于同侧大脑中动脉闭塞情况下颈动脉内膜切除术的益处不确定，手术被推迟。随后通过经颅多普勒成像和重复计算机断层扫描进行监测，结果显示血管自发再通。该患者随后接受了颈动脉内膜切除术，未出现并发症。
