Carotid Endarterectomy in a Patient with Severe Internal Carotid Artery Stenosis with Persistent Trigeminal Artery and Ischemia of the Anterior and Posterior Circulation
Occurrence of cerebral ischemia in the posterior circulation as a result of severe internal carotid artery disease and persistent trigeminal artery is rare. An 81-year-old man with medical history of hypertension and ischemic stroke presented with dizziness, nausea, and mild dysarthria. Magnetic res...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Neurological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2017/7193734 |
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| author | Melanie R. F. Greenway Hussam A. Yacoub Shweta Varade Yevgeniy Isayev |
| author_facet | Melanie R. F. Greenway Hussam A. Yacoub Shweta Varade Yevgeniy Isayev |
| author_sort | Melanie R. F. Greenway |
| collection | DOAJ |
| description | Occurrence of cerebral ischemia in the posterior circulation as a result of severe internal carotid artery disease and persistent trigeminal artery is rare. An 81-year-old man with medical history of hypertension and ischemic stroke presented with dizziness, nausea, and mild dysarthria. Magnetic resonance imaging of the brain revealed acute infarcts in the left internal carotid artery territory. CT angiogram revealed a persistent trigeminal artery (PTA) and severe atherosclerosis. The patient developed new neurological symptoms and repeat imaging revealed new acute infarcts in the PTA distribution. After undergoing a left carotid endarterectomy with no complications, the patient was discharged to a skilled nursing facility with no recurrence of ischemic stroke. This case adds a rare complication of an infrequent vascular anomaly to the limited body of the literature. |
| format | Article |
| id | doaj-art-f3305a0b7ef840468827cdf5dedcee38 |
| institution | Kabale University |
| issn | 2090-6668 2090-6676 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Neurological Medicine |
| spelling | doaj-art-f3305a0b7ef840468827cdf5dedcee382025-02-03T05:47:36ZengWileyCase Reports in Neurological Medicine2090-66682090-66762017-01-01201710.1155/2017/71937347193734Carotid Endarterectomy in a Patient with Severe Internal Carotid Artery Stenosis with Persistent Trigeminal Artery and Ischemia of the Anterior and Posterior CirculationMelanie R. F. Greenway0Hussam A. Yacoub1Shweta Varade2Yevgeniy Isayev3Morsani College of Medicine SELECT Program, Lehigh Valley Health Network and University of South Florida, Tampa, FL, USALehigh Valley Physician Group-Neurology, Lehigh Valley Health Network, 1250 S. Cedar Crest Blvd., Suite 405, Allentown, PA 18103, USALehigh Valley Physician Group-Neurology, Lehigh Valley Health Network, 1250 S. Cedar Crest Blvd., Suite 405, Allentown, PA 18103, USALehigh Valley Physician Group-Neurology, Lehigh Valley Health Network, 1250 S. Cedar Crest Blvd., Suite 405, Allentown, PA 18103, USAOccurrence of cerebral ischemia in the posterior circulation as a result of severe internal carotid artery disease and persistent trigeminal artery is rare. An 81-year-old man with medical history of hypertension and ischemic stroke presented with dizziness, nausea, and mild dysarthria. Magnetic resonance imaging of the brain revealed acute infarcts in the left internal carotid artery territory. CT angiogram revealed a persistent trigeminal artery (PTA) and severe atherosclerosis. The patient developed new neurological symptoms and repeat imaging revealed new acute infarcts in the PTA distribution. After undergoing a left carotid endarterectomy with no complications, the patient was discharged to a skilled nursing facility with no recurrence of ischemic stroke. This case adds a rare complication of an infrequent vascular anomaly to the limited body of the literature.http://dx.doi.org/10.1155/2017/7193734 |
| spellingShingle | Melanie R. F. Greenway Hussam A. Yacoub Shweta Varade Yevgeniy Isayev Carotid Endarterectomy in a Patient with Severe Internal Carotid Artery Stenosis with Persistent Trigeminal Artery and Ischemia of the Anterior and Posterior Circulation Case Reports in Neurological Medicine |
| title | Carotid Endarterectomy in a Patient with Severe Internal Carotid Artery Stenosis with Persistent Trigeminal Artery and Ischemia of the Anterior and Posterior Circulation |
| title_full | Carotid Endarterectomy in a Patient with Severe Internal Carotid Artery Stenosis with Persistent Trigeminal Artery and Ischemia of the Anterior and Posterior Circulation |
| title_fullStr | Carotid Endarterectomy in a Patient with Severe Internal Carotid Artery Stenosis with Persistent Trigeminal Artery and Ischemia of the Anterior and Posterior Circulation |
| title_full_unstemmed | Carotid Endarterectomy in a Patient with Severe Internal Carotid Artery Stenosis with Persistent Trigeminal Artery and Ischemia of the Anterior and Posterior Circulation |
| title_short | Carotid Endarterectomy in a Patient with Severe Internal Carotid Artery Stenosis with Persistent Trigeminal Artery and Ischemia of the Anterior and Posterior Circulation |
| title_sort | carotid endarterectomy in a patient with severe internal carotid artery stenosis with persistent trigeminal artery and ischemia of the anterior and posterior circulation |
| url | http://dx.doi.org/10.1155/2017/7193734 |
| work_keys_str_mv | AT melanierfgreenway carotidendarterectomyinapatientwithsevereinternalcarotidarterystenosiswithpersistenttrigeminalarteryandischemiaoftheanteriorandposteriorcirculation AT hussamayacoub carotidendarterectomyinapatientwithsevereinternalcarotidarterystenosiswithpersistenttrigeminalarteryandischemiaoftheanteriorandposteriorcirculation AT shwetavarade carotidendarterectomyinapatientwithsevereinternalcarotidarterystenosiswithpersistenttrigeminalarteryandischemiaoftheanteriorandposteriorcirculation AT yevgeniyisayev carotidendarterectomyinapatientwithsevereinternalcarotidarterystenosiswithpersistenttrigeminalarteryandischemiaoftheanteriorandposteriorcirculation |