Asian Journal of Case Reports in Medicine and Health

Images in Acute Ischemic Event of Bilateral Total Internal Carotid Artery: A Case Report and Review

Karen Sandoval Flores *

Radiology Department, Hospital “Dr. Miguel Silva,” Morelia, Michoacán, Mexico.

Alexis Eliseo Santos Rodríguez

Radiology Department, Hospital “Dr. Miguel Silva,” Morelia, Michoacán, Mexico.

Joaquin Nunez Gomez

Radiology Department, Hospital “Dr. Miguel Silva,” Morelia, Michoacán, Mexico.

*Author to whom correspondence should be addressed.

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Abstract

Cerebrovascular disease represents one of the leading causes of morbidity worldwide and is the main cause of acquired disabilities. The degree of neurological damage varies according to the extent of the infarction and hemispheric dominance. The middle cerebral artery is the most commonly affected vessel in cerebrovascular pathology. Although rare, obstruction of both internal carotid arteries can occur and is rarely described. This article aims to guide the clinician in an organized manner to detect the severity of the disease and thereby guide the treatment. Without a doubt, it is important that medical centers, at least in regional centers, have both technological equipment and trained personnel to care for patients with these characteristics and thus achieve a favorable result.

Below is a case report of this phenomenon and the images obtained during your care at our hospital.

Keywords: Acute ischemic stroke, CT signs, MRI sings, bilateral stroke, thrombectomy

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