{"title":"First Bite Syndrome Following Carotid Endarterectomy.","authors":"Eri Shiozaki, Tsuyoshi Izumo, Yoichi Morofuji, Nobutaka Horie, Takeo Anda, Takayuki Matsuo","doi":"10.1016/j.jstrokecerebrovasdis.2020.105364","DOIUrl":"https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.105364","url":null,"abstract":"<p><p>A 67-year-old man with a high position carotid plaque presented with severe pain in ipsilateral parotid region several days after carotid endarterectomy (CEA). The pain occurred at the first bite of each meal and resolved as further bite. We diagnosed the pain as first bite syndrome (FBS). FBS is infrequent but known as a complication associated with parapharyngeal space surgery. The pain is characterized by sharp pain in the parotid region associated with mastication. The cause is unclear but thought to the result from sympathetic denervation of the parotid gland, followed by parasympathetic nerve hypersensitivity. Only five cases associated with carotid endarterectomy (CEA) have been reported. We should be in mind that CEA for high position plaque is one of the risk factors to cause FBS associated with CEA. Neurologists and vascular surgeons as well as otolaryngologists should all be informed FBS as one of the complications after carotid endarterectomy.</p>","PeriodicalId":520692,"journal":{"name":"Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association","volume":" ","pages":"105364"},"PeriodicalIF":2.5,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jstrokecerebrovasdis.2020.105364","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38478854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Acute Internal Carotid Artery Occlusion Long after Carotid Revascularization by Vein Graft.","authors":"Ryota Tamura, Nobuyuki Ohara, Yasutaka Murakami, Hirotoshi Imamura, Nobuyuki Sakai, Nobuo Kohara","doi":"10.1016/j.jstrokecerebrovasdis.2020.105391","DOIUrl":"https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.105391","url":null,"abstract":"<p><p>We report the case of a 27-year-old woman with acute internal carotid artery occlusion long after carotid artery revascularization by vein graft. She presented with sudden unconsciousness and left hemiparesis. Her right carotid artery was revascularized with an ipsilateral internal jugular vein graft during a carotid body tumor resection 10 years ago. Computed tomography angiography revealed a right internal carotid artery terminus occlusion. Intravenous rt-PA and mechanical thrombectomy were performed, resulting in successful recanalization. Her neurological symptoms gradually recovered. When examining the embolic source, carotid ultrasonography for the vein graft showed intimal thickening, some high-echoic plaques, and lumen dilation, but no thrombus was observed. Color Doppler imaging showed laminar flow at the graft. Angiography after thrombectomy also showed pooling of contrast at the vein graft. We suspected that the blood flow stagnation at the vein graft induced thrombus formation; therefore, anticoagulation therapy was initiated. One year later, she was independent without recurrence of stroke, and anticoagulation therapy was replaced with aspirin because she went abroad. However, a carotid ultrasonography exam the following year revealed a huge thrombus at the graft. Anticoagulation therapy was resumed; subsequently, the thrombus decreased. In conclusion, we could monitor the long-term change in the vein graft by ultrasonography. Moreover, anticoagulation therapy was more effective.</p>","PeriodicalId":520692,"journal":{"name":"Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association","volume":" ","pages":"105391"},"PeriodicalIF":2.5,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jstrokecerebrovasdis.2020.105391","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38523833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Naureen Keric, Melanie Doebel, Harald Krenzlin, Elena Kurz, Yasemin Tanyildizi, Axel Heimann, Jochem Koenig, Oliver Kempski, Florian Ringel, Julia Masomi-Bornwasser
{"title":"Corrigendum to \"Comparative Analysis of Fibrinolytic Properties of Alteplase, Tenecteplase and Urokinase in an in Vitro Clot Model of Intracerebral Haemorrhage. [Journal of Stroke and Cerebrovascular Diseases, Vol. 29, No. 9 (September), 2020: 105073]\".","authors":"Naureen Keric, Melanie Doebel, Harald Krenzlin, Elena Kurz, Yasemin Tanyildizi, Axel Heimann, Jochem Koenig, Oliver Kempski, Florian Ringel, Julia Masomi-Bornwasser","doi":"10.1016/j.jstrokecerebrovasdis.2020.105338","DOIUrl":"https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.105338","url":null,"abstract":"","PeriodicalId":520692,"journal":{"name":"Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association","volume":" ","pages":"105338"},"PeriodicalIF":2.5,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jstrokecerebrovasdis.2020.105338","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38551397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}