Legdeur Nienke, van Schaik Sander M, van den Berg-Vos Renske M
OLVG, locatie West, afd. Neurologie, Amsterdam.
Ned Tijdschr Geneeskd. 2016;160:A9869.
In patients who have suffered a transient ischemic attack (TIA) or ischaemic stroke, diagnostic imaging often reveals an occlusion in the extracranial internal carotid artery (ICA) on the symptomatic side. It is generally assumed that no follow-up is needed.
A 57-year-old man reported to the emergency department with global aphasia. Two weeks previously he had been diagnosed with an occlusion of the left ICA following a TIA. On the basis of CT angiography we diagnosed an ischaemic stroke in the left middle cerebral artery territory and a severe stenosis of the left ICA. Several days later the patient underwent a successful carotid endarterectomy.
Following an acute symptomatic occlusion of the extracranial ICA, recanalisation of the artery can take place. In these patients we advise considering a repeat of the diagnostic imaging of the ICA within a week.
在短暂性脑缺血发作（TIA）或缺血性卒中患者中，诊断性影像学检查常显示症状侧颅外颈内动脉（ICA）闭塞。通常认为无需进行随访。
一名57岁男性因完全性失语被送至急诊科。两周前他因TIA被诊断为左侧ICA闭塞。基于CT血管造影，我们诊断为左侧大脑中动脉区域缺血性卒中和左侧ICA严重狭窄。几天后患者成功接受了颈动脉内膜切除术。
颅外ICA急性症状性闭塞后，动脉可再通。对于这些患者，我们建议在一周内重复进行ICA的诊断性影像学检查。
