Bilateral Atherosclerotic Internal Carotid Artery Occlusion with Intact Cerebral Glucose Metabolism: A Case Report.

Abstract

BACKGROUND:

Mild neurologic deficits concomitant with bilateral internal carotid artery occlusion (BICAO) is very rare and its treatment is still unclear.

CASE REPORT:

Herein, we report a case of a 67-year-old man with BICAO. The collateral circulation was rich, the symptoms were mild, and only standard pharmacotherapy was prescribed. Follow-up Mini-Mental State Examination, fluorine-18-fluorodeoxyglucose positron emission tomography, and magnetic resonance perfusion-weighted imaging were performed for 6 months.

RESULTS:

The results showed uniform reduction in perfusion throughout the brain, normal glucose uptake by the brain, and no ischemic events and cognitive impairment during the follow-up period.

CONCLUSIONS:

For BICAO patients who are with mild neurologic deficits and good cerebral collateral and metabolism, the timely administration of pharmacotherapy might be safe and effective. Thus, in our patient, a favorable prognosis was achieved, but further follow-up is still required.

• Authors: Zhilin Xiong, Xueying Lin, Wei Bi, Wenxian Li, Zhen Jing, Li'an Huang
• Journal: Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association (J Stroke Cerebrovasc Dis) Vol. 24 Issue 8 Pg. e201-4 (Aug 2015) ISSN: 1532-8511 [Electronic] United States
• PMID: 26091940 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2015 National Stroke Association. Published by Elsevier Inc. All rights reserved.

Chemical References

• Platelet Aggregation Inhibitors
• Fluorodeoxyglucose F18
• Glucose

Topics

• Aged
• Carotid Artery Diseases (diagnosis, drug therapy, physiopathology)
• Cerebral Cortex (metabolism)
• Cerebrovascular Circulation (physiology)
• Fluorodeoxyglucose F18 (metabolism)
• Glucose (metabolism)
• Humans
• Magnetic Resonance Angiography
• Magnetic Resonance Imaging
• Male
• Platelet Aggregation Inhibitors (therapeutic use)
• Positron-Emission Tomography