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KERD
논문KCI 등재

대동맥궁의 변이와 관련된 양측 내경동맥영역의 급성 뇌경색

Acute Bilateral Internal Carotid Artery Territory Infarction Associated with a Variant of Aortic Arch Branching

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초록

Acute bilateral internal carotid artery occlusion (ICAO) is a rare form of ischemic stroke. The possible role of variants of the aortic arch in bilateral ICAO has never been reported. Two patients presented with abrupt coma with quadriplegia. Magnetic resonance images revealed acute ischemic lesions on both hemispheres, except the area supplied by the vertebrobasilar artery. Both patients showed variation of the origin of the brachiocephalic trunk and left common carotid artery. This variation might explain simultaneous bilateral carotid territory infarctions.

Abstract

Acute bilateral internal carotid artery occlusion (ICAO) is a rare form of ischemic stroke. The possible role of variants of the aortic arch in bilateral ICAO has never been reported. Two patients presented with abrupt coma with quadriplegia. Magnetic resonance images revealed acute ischemic lesions on both hemispheres, except the area supplied by the vertebrobasilar artery. Both patients showed variation of the origin of the brachiocephalic trunk and left common carotid artery. This variation might explain simultaneous bilateral carotid territory infarctions.

참고문헌 (6)

  1. Kwon SU, "Sudden coma from acute bilateral internal carotid artery territory infarction", Neurology, 58, pp.1846~1849 (2002)
  2. Bekircan E, "Bilateral acute internal carotid artery occlusion presenting with sudden coma", Intern Med, 48, pp.1565~1566 (2009)
  3. Layton KF, "Bovine aortic arch variant in humans: clarification of a common misnomer", AJNR Am J Neuroradiol, 27, pp.1541~1542 (2006)
  4. Chang YJ, "Common carotid artery occlusion: evaluation with duplex sonography", AJNR Am J Neuroradiol, 16, pp.1099~1105 (1995)
  5. Lai SL, "Bilateral common carotid artery occlusion -A case report and literature review", J Neurol Sci, 238, pp.101~104 (2005)
  6. Persoon S, "Bilateral carotid artery occlusion with transient or moderately disabling ischaemic stroke: clinical features and long-term outcome", J Neurol, 256, pp.1728~1735 (2009)

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