Print ISSN : 0917-074X
ISSN-L : 0917-074X
34 巻, 2 号
  • 山﨑 直也, 土井尻 遼介, 滝川 浩平, 園田 卓司, 佐藤 光信, 横沢 路子, 菅原 孝行, 菊池 貴彦, 木村 尚人
    2021 年 34 巻 2 号 p. 83-87
    発行日: 2021年
    公開日: 2021/09/16
    ジャーナル フリー
    Background and Purpose: Transoral carotid ultrasonography (TOCU) can examine cervical internal carotid artery (ICA) in a higher position. We report a case of a patient with stenting of idiopathic cervical internal artery dissections, and we evaluated the application of TOCU.
    Case: A 58-year-old man was admitted to our hospital for posterior headache and left Horner syndrome. Computed tomography angiography revealed an enlargement of left ICA and a severe stenosis at C4 portion of left ICA. No worsening of neurological symptoms was observed, however, magnetic resonance angiography revealed a progression of stenosis of left cervical ICA. On day 5, endovascular stenting with three Wingspan and one Enterprise intracranial stents was performed. The angiogram indicated complete coverage of the stenotic segment by the stents. TOCU demonstrated blood flow in color Doppler through the stents. He discharged from hospital with modified Rankin Scale 0.
    Conclusions: TOCU can be a useful clinical method for an evaluation after stenting of cervical ICA dissection.
第40回日本脳神経超音波学会 英文抄録集