Background
Mild neurologic deficits concomitant with bilateral internal carotid artery occlusion
(BICAO) is very rare and its treatment is still unclear.
Case Report
Herein, we report a case of a 67-year-old man with BICAO. The collateral circulation
was rich, the symptoms were mild, and only standard pharmacotherapy was prescribed.
Follow-up Mini-Mental State Examination, fluorine-18-fluorodeoxyglucose positron emission
tomography, and magnetic resonance perfusion-weighted imaging were performed for 6 months.
Results
The results showed uniform reduction in perfusion throughout the brain, normal glucose
uptake by the brain, and no ischemic events and cognitive impairment during the follow-up
period.
Conclusions
For BICAO patients who are with mild neurologic deficits and good cerebral collateral
and metabolism, the timely administration of pharmacotherapy might be safe and effective.
Thus, in our patient, a favorable prognosis was achieved, but further follow-up is
still required.
Key Words
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Article info
Publication history
Published online: June 16, 2015
Accepted:
March 17,
2015
Received in revised form:
March 11,
2015
Received:
January 26,
2015
Identification
DOI: https://doi.org/10.1016/j.jstrokecerebrovasdis.2015.03.059
Copyright
© 2015 National Stroke Association. Published by Elsevier Inc. All rights reserved.
