Faculty of Residency, Riga Stradins University, Dzirciema Iela 16, Riga LV-1007, Latvia.
Department of Neurology, Pauls Stradins Clinical University Hospital, Pilsonu Iela 13, Riga LV-1002, Latvia.
Medicina (Kaunas). 2022 Sep 22;58(10):1328. doi: 10.3390/medicina58101328.
: Carotid revascularization is one of the most effective treatment options in patients with severe carotid artery stenosis causing hypoperfusion in basal ganglia. Atypical manifestations include hyperkinetic movements, noted as extremely rare. We report a case about a patient with 2-months-long complaints of Uncontrollable movements in his right side of the body subsided after carotid revascularization. : A 71-year-old male was admitted to Pauls Stradins Clinical University Hospital with the main complaints of 2-months-long uncontrollable movements in his right hand and his right leg. When performing coordination tasks, slight inaccuracy was noted with the right-side extremities. Hyperkinetic movements-choreoathetosis in the right side of the patient's face, arm, and leg-were seen. Computed tomography angiography revealed subocclusion in the proximal segment of the left internal carotid artery and 30% stenosis in the proximal segment of the right internal carotid artery. The patient was consulted by a vascular surgeon. Eversion endarterectomy of the left internal carotid artery was performed. The early postoperative period occurred without complications. The patient was discharged from the hospital 2 days after the surgery in good overall health condition. Two months later, choreoathetotic movements in his right side of the body had markedly decreased. No focal neurologic deficits were noted. : Revascularization may be effective by eliminating emboli and stenosis, leading to hypoperfusion in watershed territories. A case of a 71-year-old male patient with the main complaints of 2-months-long uncontrollable movements in his right side of the body subsiding after carotid revascularization was demonstrated. It is vital to recognize atypical manifestations of hypoperfusion, associated with stenosis in internal carotid arteries, to early make a diagnosis, to perform an appropriate treatment, and to reduce the risk of cerebral infarction in the future, resulting in a longer high-quality life for the patient.
颈动脉血运重建术是治疗因基底节区低灌注引起严重颈动脉狭窄的患者的最有效治疗方法之一。不典型表现包括运动障碍，极为罕见。我们报告了一例患者，其右侧身体无法控制的运动持续了 2 个月，在颈动脉血运重建术后得到缓解。
一名 71 岁男性因右侧手和腿无法控制的运动持续 2 个月而主因被收入保卢斯·斯特拉丁斯临床大学医院。在执行协调任务时，注意到右侧肢体略有不准确。患者的右侧面部、手臂和腿部可见运动障碍-舞蹈手足徐动症。计算机断层血管造影显示左侧颈内动脉近段次全闭塞和右侧颈内动脉近段 30%狭窄。该患者由血管外科医生会诊。进行了左侧颈内动脉外翻内膜切除术。早期术后无并发症发生。患者在手术 2 天后整体健康状况良好出院。两个月后，右侧身体的舞蹈手足徐动症明显减少。未发现局灶性神经功能缺损。
血运重建术通过消除栓子和狭窄可能有效，从而导致分水岭区域的低灌注。我们报告了一例 71 岁男性患者，其主要症状为右侧身体无法控制的运动持续了 2 个月，在颈动脉血运重建术后得到缓解。认识到与颈内动脉狭窄相关的不典型低灌注表现至关重要，以便早期诊断、进行适当治疗，并降低未来脑梗死的风险，从而为患者带来更长的高质量生活。
