Carotid Endarterectomy in a Patient with Severe Internal Carotid Artery Stenosis with Persistent Trigeminal Artery and Ischemia of the Anterior and Posterior Circulation.
Publication/Presentation Date
1-1-2017
Abstract
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.
Volume
2017
First Page
7193734
Last Page
7193734
ISSN
2090-6668
Published In/Presented At
Greenway, M. R. F., Yacoub, H. A., Varade, S., & Isayev, Y. (2017). 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, 2017, 7193734. https://doi.org/10.1155/2017/7193734
Disciplines
Neurology
PubMedID
29348950
Department(s)
Department of Medicine, Department of Medicine Faculty, Department of Medicine Fellows and Residents
Document Type
Article
Comments
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