Wolf Thijs, Dewey Kayla, Adler David
University of Rochester Medical Center, Strong Memorial Hospital, Division of Emergency Medicine, Rochester, New York.
Clin Pract Cases Emerg Med. 2023 Aug;7(3):140-143. doi: 10.5811/cpcem.1489.
Internal carotid artery occlusion as a result of a septic embolism is a rare, commonly fatal, complication of mitral valve infectious endocarditis. Prompt recognition of this condition by the emergency physician may improve the chance of functional neurological survival.
A 50-year-old male presented minimally responsive with a right gaze deviation, left hemiparesis, and a score of 26 on the National Institutes of Health Stroke Scale. A point-of-care echocardiogram showed a large mitral valve vegetation, and computed tomography angiography demonstrated an internal carotid artery occlusion.
The emergency physician should consider this potentially life-threatening condition and know the fundamental management recommendations once identified.
因感染性栓子导致的颈内动脉闭塞是二尖瓣感染性心内膜炎一种罕见但通常致命的并发症。急诊医生及时识别这种情况可能会提高患者神经功能存活的几率。
一名50岁男性，表现为反应迟钝、右向凝视偏斜、左侧偏瘫，美国国立卫生研究院卒中量表评分为26分。床旁超声心动图显示二尖瓣有一个大的赘生物，计算机断层血管造影显示颈内动脉闭塞。
急诊医生应考虑到这种潜在的危及生命的情况，并在识别后了解基本的处理建议。
