دورية أكاديمية
Computed tomography perfusion abnormalities after carotid endarterectomy help in the diagnosis of reversible cerebral vasoconstriction syndrome
العنوان: | Computed tomography perfusion abnormalities after carotid endarterectomy help in the diagnosis of reversible cerebral vasoconstriction syndrome |
---|---|
المؤلفون: | Masis Isikbay, MD, Kazim H. Narsinh, MD, Sergio Arroyo, MD, PhD, Wade S. Smith, MD, PhD, Daniel L. Cooke, MD, Randall T. Higashida, MD, Matthew R. Amans, MD |
المصدر: | Journal of Vascular Surgery Cases and Innovative Techniques, Vol 7, Iss 1, Pp 171-175 (2021) |
بيانات النشر: | Elsevier, 2021. |
سنة النشر: | 2021 |
المجموعة: | LCC:Surgery LCC:Diseases of the circulatory (Cardiovascular) system |
مصطلحات موضوعية: | Carotid endarterectomy, CT perfusion, Neurological deficits, Reversible cerebral vasoconstriction syndrome, Surgical complications, Surgery, RD1-811, Diseases of the circulatory (Cardiovascular) system, RC666-701 |
الوصف: | Acute neurologic deficits in the postoperative period after carotid endarterectomy (CEA) can prompt extensive diagnostic evaluation. Reversible cerebral vasoconstriction syndrome (RCVS) is an underrecognized cause of acute neurologic deficit after CEA. We present the case of RCVS in an 84-year-old male patient who had experienced left limb weakness after CEA, prompting multiple code stroke activations. The present case is novel because the obtained computed tomography perfusion imaging studies demonstrated abnormalities that have not been previously described in patients with RCVS. These findings, combined with the cerebral angiography findings, led to the rapid diagnosis and delivery of intra-arterial vasodilator therapy. He experienced subsequent resolution of his symptoms and radiologic abnormalities. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 2468-4287 |
العلاقة: | http://www.sciencedirect.com/science/article/pii/S2468428720301854Test; https://doaj.org/toc/2468-4287Test |
DOI: | 10.1016/j.jvscit.2020.10.010 |
الوصول الحر: | https://doaj.org/article/7829838d19fa450a984d068f4b4c62f1Test |
رقم الانضمام: | edsdoj.7829838d19fa450a984d068f4b4c62f1 |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 24684287 |
---|---|
DOI: | 10.1016/j.jvscit.2020.10.010 |