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He A, Dong K, Zhao W, Zhao B, Sun W, Wu X, Lu X, Chen Y, Song H. Recurrent ischemic stroke from reversible extracranial internal carotid artery and middle cerebral artery vasospasm: A case report. Brain Circ 2023; 9:258-261. [PMID: 38284115 PMCID: PMC10821686 DOI: 10.4103/bc.bc_47_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Revised: 09/14/2023] [Accepted: 09/18/2023] [Indexed: 01/30/2024] Open
Abstract
Idiopathic internal carotid artery (ICA) vasospasm is a rare cause of ischemic stroke. Its pathophysiology remains unclear and diagnostic and treatment protocols are yet to be defined. A 45-year-old male, presenting with recurrent transient dizziness, blurred vision, and speech disturbances, was diagnosed with recurrent ischemic stroke caused by bilateral ICA and middle cerebral artery (MCA) vasospasm, and the vascular ultrasound and imaging techniques have grabbed the reversible changes in a short time. This case underscores the importance of considering idiopathic ICA vasospasm as a potential cause of recurrent ischemic stroke, even in the absence of common diagnostic markers. The case also indicates the possible, albeit rare, involvement of the MCA in this condition. Therefore, it is crucial to maintain a high index of suspicion for idiopathic ICA vasospasm in similar clinical presentations and to explore more inclusive diagnostic criteria.
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Affiliation(s)
- Aini He
- Department of Neurology, Xuanwu Hospital, Capital Medicine University, Beijing, China
| | - Kai Dong
- Department of Neurology, Xuanwu Hospital, Capital Medicine University, Beijing, China
| | - Wenbo Zhao
- Department of Neurology, Xuanwu Hospital, Capital Medicine University, Beijing, China
| | - Benke Zhao
- Department of Neurology, Xuanwu Hospital, Capital Medicine University, Beijing, China
| | - Wei Sun
- Department of Neurology, Xuanwu Hospital, Capital Medicine University, Beijing, China
| | - Xiao Wu
- Department of Neurology, Xuanwu Hospital, Capital Medicine University, Beijing, China
| | - Xia Lu
- Department of Neurosurgery, Xuanwu Hospital, Capital Medicine University, Beijing, China
| | - Yanfei Chen
- Department of Neurosurgery, Xuanwu Hospital, Capital Medicine University, Beijing, China
| | - Haiqing Song
- Department of Neurology, Xuanwu Hospital, Capital Medicine University, Beijing, China
- Beijing Stroke Quality Control Center, Beijing, China
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