Symptomatic Unilateral Carotid Artery Disease: An Uncommon but Reversible Cause of Corticobasal Syndrome.

IF 1.1 4区医学 Q4 CLINICAL NEUROLOGY

Neurologist Pub Date : 2024-09-01 DOI:10.1097/NRL.0000000000000573

Konstantinos Melanis, Athanasia Athanasaki, Eleni Bakola, Maria Chondrogianni, Andreas Lazaris, Alexandra Akrivaki, Alexandros Stavros Triantafyllou, Vasiliki Kotsali-Peteinelli, Anastasios Bonakis, George P Paraskevas, Georgios Tsivgoulis

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引用次数: 0

Abstract

Introduction: Symptomatic carotid artery disease (CAD) represents an uncommon but treatable cause of corticobasal syndrome.

Case report: We present the clinical details and successful management of a previously healthy 77-year-old patient who presented with 1-year cognitive dysfunction, alien limb syndrome, limb kinetic apraxia, and ipsilateral cortical sensory deficit, fulfilling the criteria of the diagnosis of probable corticobasal syndrome. Imaging modalities, including magnetic resonance imaging and time-of-flight magnetic resonance angiography, revealed acute external borderzone infarcts of the right hemisphere due to symptomatic CAD causing near occlusion of the vessel. The patient underwent a right carotid endarterectomy, leading to a marked improvement in mobility and neuropsychological evaluation.

Conclusion: This case highlights the importance of swift diagnosis of symptomatic CAD in patients with corticobasal syndrome. Moreover, it emphasizes the efficacy of carotid endarterectomy in achieving symptom improvement in such cases.

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症状性单侧颈动脉疾病：皮质基底综合征：一种不常见但可逆的病因

导言：无症状颈动脉疾病（CAD）是皮质基底综合征的一个不常见但可治疗的病因：我们介绍了一名既往健康的 77 岁患者的临床细节和成功治疗，该患者出现认知功能障碍、异肢综合征、肢体运动障碍和同侧皮质感觉缺失 1 年，符合可能的皮质基底膜综合征的诊断标准。包括磁共振成像和飞行时间磁共振血管造影在内的影像学检查结果显示，由于无症状的CAD导致血管近乎闭塞，导致右半球急性外缘区梗死。患者接受了右侧颈动脉内膜切除术，活动能力和神经心理学评估结果明显改善：本病例强调了迅速诊断皮质基底综合征患者症状性 CAD 的重要性。结论：本病例强调了迅速诊断皮质基底综合征患者症状性 CAD 的重要性，同时也强调了颈动脉内膜切除术在改善此类患者症状方面的疗效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Neurologist 医学-临床神经学

CiteScore

1.90

自引率

0.00%

发文量

151

审稿时长

2 months

期刊介绍： The Neurologist publishes articles on topics of current interest to physicians treating patients with neurological diseases. The core of the journal is review articles focusing on clinically relevant issues. The journal also publishes case reports or case series which review the literature and put observations in perspective, as well as letters to the editor. Special features include the popular "10 Most Commonly Asked Questions" and the "Patient and Family Fact Sheet," a handy tear-out page that can be copied to hand out to patients and their caregivers.