Department of Neurosciences, Division of Neurology, Nepal Mediciti, Sainbu, Bhaisepati, Lalitpur, Nepal.
Department of Neurosciences, Division of Neurosurgery, Nepal Mediciti, Sainbu, Bhaisepati, Lalitpur, Nepal.
JNMA J Nepal Med Assoc. 2022 Feb 15;60(246):207-210. doi: 10.31729/jnma.6877.
Bilateral internal carotid artery occlusion is a disease that is encountered rarely. We report a case of a 54 years old female smoker, who presented with acute onset right-sided limb weakness, facial deviation and slurring of speech. On computed tomography angiography occlusion of the bilateral internal carotid artery was seen and a high-flow collateral circulation was formed through the vertebrobasilar system. Computed tomography brain perfusion showed marked cerebral hypoperfusion on the left side. The patient was thrombolysed and kept on dual antiplatelet therapy. Post-medical treatment, motor power and speech significantly improved.
双侧颈内动脉闭塞是一种罕见的疾病。我们报告了一例 54 岁女性吸烟者，她突发右侧肢体无力、面部偏斜和言语含糊。计算机断层血管造影显示双侧颈内动脉闭塞，并通过椎基底动脉系统形成高流量侧支循环。计算机断层脑灌注显示左侧明显脑灌注不足。患者接受溶栓治疗，并继续双联抗血小板治疗。药物治疗后，运动功能和言语明显改善。
