Treatment of Idiopathic Recurrent Internal Carotid Artery Vasospasms with Bilateral Carotid Artery Stenting: A Case Report

Kazuki Takahira; Taketo Kataoka; Tatsuya Ogino; Hideki Endo; Atsuko Nihira; Kazuya Sako; Hirohiko Nakamura

doi:10.5797/jnet.cr.2016-0053

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Treatment of Idiopathic Recurrent Internal Carotid Artery Vasospasms with Bilateral Carotid Artery Stenting: A Case Report

Kazuki Takahira, Taketo Kataoka, Tatsuya Ogino, Hideki Endo, Atsuko Nihira, Kazuya Sako, Hirohiko Nakamura

著者情報

キーワード: idiopathic recurrent internal carotid artery vasospasms, carotid artery stenting, transient ischemic attack

ジャーナルオープンアクセス早期公開

論文ID: cr.2016-0053

DOI https://doi.org/10.5797/jnet.cr.2016-0053

この記事には本公開記事があります。

The final version of this article is now available: Vol. 11 (2017), No. 5 pp. 246-252

詳細

抄録

Objective: Idiopathic recurrent internal carotid artery vasospasms refer to paroxysmal vasospasms of the internal carotid artery centering on the cervical segment, which are rare. We report a patient who underwent bilateral carotid artery stenting (CAS) for idiopathic recurrent internal carotid artery vasospasms.

Case Presentation: A 40-year-old male. Paroxysmal vasospasms of the internal carotid artery had occurred 5 or 6 times a month during the past 10 years, with headache, amaurosis fugax, hemiparesis, and aphasia. The attacks could not completely be reduced by drug therapy, and bilateral CAS was performed. The frequency of attacks decreased during a postoperative period of 6 months, and ischemic symptoms of the hemisphere had disappeared.

Conclusion: CAS for drug-resistant idiopathic recurrent internal carotid artery vasospasms may be useful for decreasing the frequency of attacks and preventing ischemic hemispheric symptoms.

責任著者(Corresponding author)

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