[Transient monoparesis of the right arm after carotid artery stenting]. / Transiente Monoparese des rechten Arms nach Karotisstenting.
Radiologe
; 51(4): 293-5, 2011 Apr.
Article
en De
| MEDLINE
| ID: mdl-21445643
We report on an 80-year-old hypertensive patient with a left-sided high-grade carotid stenosis who developed transient monoparesis of the right arm after stenting of the carotid artery. Computed tomography (CT) of the brain (cranial CT) performed immediately after the symptomatic had begun showed a linear hyperdensity in the ipsilateral, precentral sulcus with a moderate, local brain swelling and edema. Transcranial doppler sonography revealed an accelerated post-interventional systolic blood flow velocity and in the ipsilateral medial cerebral artery compared to the preoperative value and an increased cerebral blood flow, so that the diagnosis of hyperperfusion syndrome with a subpial hematoma was confirmed. After strict blood pressure control and -reduction the neurological deficit regressed gradually and the hyperdensity had completely disappeared in control CCT after 15 h.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Paresia
/
Prótesis Vascular
/
Stents
/
Estenosis Carotídea
/
Hematoma Epidural Craneal
Tipo de estudio:
Diagnostic_studies
Límite:
Aged
/
Humans
/
Male
Idioma:
De
Revista:
Radiologe
Año:
2011
Tipo del documento:
Article
Pais de publicación:
Alemania