Acute isolated posterior cerebral artery occlusion successfully treated with combined pharmacological and mechanical thrombectomy

المؤلفون المشاركون

Ibrahim, Wail
Ayyad, Ala
Muhammad, Husam al-Din

المصدر

Bahrain Medical Bulletin

العدد

المجلد 41، العدد 4 (31 ديسمبر/كانون الأول 2019)، ص ص. 255-257، 3ص.

الناشر

مستشفى الملك حمد الجامعي

تاريخ النشر

2019-12-31

دولة النشر

البحرين

عدد الصفحات

3

الموضوع الرئيسي

الطب البشري

الموضوعات

الملخص EN

Posterior cerebral artery (PCA) and other posterior circulation strokes are challenging to diagnose compared to anterior circulation strokes because of non-specific and fluctuating symptoms. This may delay timely diagnosis, treatment and affect patients’ outcome and prognosis. We report a case of an acute isolated PCA occlusion that was successfully treated with endovascular mechanical thrombectomy. A sixty-nine-year-old female presented with dizziness, confusion, nausea and severe headache. Stroke code was activated. Plain CT was negative for hemorrhage or recent infarction. CT angiography (CTA) revealed total occlusion of P2 segment of right PCA. MRI showed acute infarction of the right deep temporal and occipital regions indicating diffusion restriction and dark signals in Apparent Diffusion Coefficient (ADC) map with diffusion–fluid-attenuated inversion recovery (FLAIR) mismatch. Systemic intravenous (IV) thrombolysis was given immediately after the diagnosis, followed by endovascular mechanical thrombectomy. Complete PCA endovascular recanalization and reperfusion was obtained 4 hours after the onset of symptoms with complete clinical recovery. Endovascular mechanical recanalization prompt reperfusion is beneficial and results in a good clinical course in patients with PCA strokes.

نمط استشهاد جمعية علماء النفس الأمريكية (APA)

Ayyad, Ala& Muhammad, Husam al-Din& Ibrahim, Wail. 2019. Acute isolated posterior cerebral artery occlusion successfully treated with combined pharmacological and mechanical thrombectomy. Bahrain Medical Bulletin،Vol. 41, no. 4, pp.255-257.
https://search.emarefa.net/detail/BIM-910488

نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)

Ayyad, Ala…[et al.]. Acute isolated posterior cerebral artery occlusion successfully treated with combined pharmacological and mechanical thrombectomy. Bahrain Medical Bulletin Vol. 41, no. 4 (Dec. 2019), pp.255-257.
https://search.emarefa.net/detail/BIM-910488

نمط استشهاد الجمعية الطبية الأمريكية (AMA)

Ayyad, Ala& Muhammad, Husam al-Din& Ibrahim, Wail. Acute isolated posterior cerebral artery occlusion successfully treated with combined pharmacological and mechanical thrombectomy. Bahrain Medical Bulletin. 2019. Vol. 41, no. 4, pp.255-257.
https://search.emarefa.net/detail/BIM-910488

نوع البيانات

مقالات

لغة النص

الإنجليزية

الملاحظات

Includes bibliographical references : p. 256-257

رقم السجل

BIM-910488