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JNMA J Nepal Med Assoc · Feb 2022
Case ReportsBilateral Internal Carotid Arteries Occlusion: A Case Report.
- Prabhaw Upadhyaya, Prasanna Karki, Baburam Pokharel, and Gopal Raman Sharma.
- Department of Neurosciences, Division of Neurology, Nepal Mediciti, Sainbu, Bhaisepati, Lalitpur, Nepal.
- JNMA J Nepal Med Assoc. 2022 Feb 15; 60 (246): 207-210.
AbstractBilateral 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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