Pour Rashidi Ahmad, Saeedinia Saeed, Shiran Mohammad, Karimi Yarandi Kourosh, Alimohamadi Maysam
Department of Neurosurgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Brain and Spinal Cord Injury Research Center (BASIR), Tehran University of Medical Sciences, Tehran, Iran.
Acta Med Iran. 2017 Nov;55(11):718-721.
Bilateral occlusion of internal carotid arteries is a rare condition usually associated with severe neurological symptoms. It is very uncommon finding among patients with ischemic stroke. In this article, we report a rare case of bilateral occlusion of internal carotid artery who presented with mild reversible neurological symptoms. Angiographic evaluation of her cerebral vasculature revealed no flow across the both cervical internal carotid arteries, but a run off through both posterior communicating arteries from the vertebrobasilar system. We performed a review of the pertinent literature and discussed different management option in these patients.
双侧颈内动脉闭塞是一种罕见的疾病，通常伴有严重的神经症状。在缺血性中风患者中，这是一种非常罕见的发现。在本文中，我们报告了一例罕见的双侧颈内动脉闭塞病例，该患者表现出轻度可逆性神经症状。对其脑血管系统的血管造影评估显示，双侧颈内动脉均无血流通过，但椎动脉基底动脉系统通过双侧后交通动脉有血流灌注。我们对相关文献进行了综述，并讨论了这些患者的不同治疗方案。
