Recurrent right hemiplegia associated with progressive ipsilateral carotid artery stenosis

Stroke; a Journal of Cerebral Circulation
F CholletB Guiraud-Chaumeil

Abstract

Ipsilateral sensory motor symptoms associated with carotid artery stenosis are rare, and few reports are available in the literature. We report the case of a 50-year-old man who presented with right hemiplegia that recurred 14 months later. A left hemisphere watershed infarction was detected. Repeated angiograms showed a left internal carotid occlusion and a right internal carotid stenosis that initially measured 50% and worsened to 80% after the second stroke. Repeated quantitative measurements of cerebrovascular reserve demonstrated the hemodynamic mechanism of the strokes and the role of a right internal carotid lesion in causing the recurrence of right hemiplegia.

References

Mar 1, 1988·Archives of Neurology·T YanagiharaD G Piepgras
Mar 1, 1986·Neurology·J Bogousslavsky, F Regli

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Citations

Oct 6, 2005·Journal of Thrombosis and Thrombolysis·Madeline C Fields, Steven R Levine
Mar 5, 2003·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·Mark L Moster
Nov 20, 2002·Blood Coagulation & Fibrinolysis : an International Journal in Haemostasis and Thrombosis·R GrossmannS Schwender

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