Bilateral Internal Carotid Arteries Occlusion: A Case Report

Authors

  • Prabhaw Upadhyaya Department of Neurosciences, Division of Neurology, Nepal Mediciti, Sainbu, Bhaisepati, Lalitpur, Nepal https://orcid.org/0000-0002-3173-6243
  • Prasanna Karki Department of Neurosciences, Division of Neurosurgery, Nepal Mediciti, Sainbu, Bhaisepati, Lalitpur, Nepal
  • Baburam Pokharel Department of Neurosciences, Division of Neurology, Nepal Mediciti, Sainbu, Bhaisepati, Lalitpur, Nepal https://orcid.org/0000-0002-5577-9643
  • Gopal Raman Sharma Department of Neurosciences, Division of Neurosurgery, Nepal Mediciti, Sainbu, Bhaisepati, Lalitpur, Nepal https://orcid.org/0000-0003-3638-4993

DOI:

https://doi.org/10.31729/jnma.6877

Keywords:

case report, internal carotid arteries, ischemic stroke, thrombolysis

Abstract

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.

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Published

2022-02-15

How to Cite

Upadhyaya, P., Karki, P. ., Pokharel, B. ., & Sharma, G. R. . (2022). Bilateral Internal Carotid Arteries Occlusion: A Case Report. Journal of Nepal Medical Association, 60(246), 207–210. https://doi.org/10.31729/jnma.6877

Issue

Vol. 60 No. 246 (2022): JNMA: Published Monthly

Section

Case Reports

License

Copyright (c) 2022 Prabhaw Upadhyaya, Prasanna Karki, Baburam Pokharel, Gopal Raman Sharma

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