Journal of Stroke & Cerebrovascular Diseases
Volume 18, Issue 6 , Pages 458-459, November 2009

Treatment of Transiently Symptomatic Acute Internal Carotid Artery Occlusion: Learning from the Interventional Field

  • Simone Beretta, MD, PhD

      Affiliations

    • Acute Stroke Unit, Department of Neurology, San Gerardo Hospital, University of Milano-Bicocca, Monza, Italy
    • Corresponding Author InformationAddress correspondence to Simone Beretta, MD, PhD, Department of Neuroscience, University of Milano-Bicocca, Via Cadore 48, 20052 Monza (MI), Italy.
    • ,
  • Edoardo Boccardi, MD

      Affiliations

    • Interventional Neuroradiology Division, Niguarda-Ca' Granda Hospital, Milan, Italy
    • ,
  • Patrizia Santoro, MD

      Affiliations

    • Acute Stroke Unit, Department of Neurology, San Gerardo Hospital, University of Milano-Bicocca, Monza, Italy
    • ,
  • Giovanni Pappadà, MD

      Affiliations

    • Department of Neurosurgery, San Gerardo Hospital, University of Milano-Bicocca, Monza, Italy
    • ,
  • Carlo Ferrarese, MD, PhD

      Affiliations

    • Acute Stroke Unit, Department of Neurology, San Gerardo Hospital, University of Milano-Bicocca, Monza, Italy

Received 14 December 2008; received in revised form 25 January 2009; accepted 30 January 2009.

A 69-year-old man experienced left hemiparesis and confusion of sudden onset, followed by complete spontaneous recovery after about 20 minutes. When carotid ultrasound was performed in the neurovascular unit 12 hours later, an occluded right internal carotid artery was found. Transcranial ultrasound showed normal flow in the right middle and anterior cerebral arteries. How should he be treated?

Key Words: Transient ischemic attack, stroke prevention, carotid artery occlusion, anticoagulants

To access this article, please choose from the options below

Login to an existing account or Register a new account.

  • Purchase this article for 31.50 USD (You must login/register to purchase this article)

    Online access for 24 hours. The PDF version can be downloaded as your permanent record.

  • Subscribe to this title

    Get unlimited online access to this article and all other articles in this title 24/7 for one year.

  • Claim access now

    For current subscribers with Society Membership or Account Number.

  • Visit SciVerse ScienceDirect to see if you have access via your institution.
 

PII: S1052-3057(09)00032-9

doi:10.1016/j.jstrokecerebrovasdis.2009.01.013

Journal of Stroke & Cerebrovascular Diseases
Volume 18, Issue 6 , Pages 458-459, November 2009

Article Tools