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A 33-year-old male with no previous medical history was admitted to the emergency department with an acute onset 4 day history of an odd sensation over his tongue and slurring of his speech. Clinical examination revealed a hypoglossal nerve palsy on the left. The tongue to pinprick and taste was normal. There were no Horneru2019s syndrome at the time. CT Angiogram of aortic arch and carotid vasculature showed significant differences in the left internal carotid artery's thickness, right next to the hypoglossal canal's external aperture, in accordance with a localised left ICA dissection. An acute isolated hypoglossal nerve palsy as a follow-up to a high ICA dissection is a rare but well documented clinical presentation. As it passes between the internal jugular vein and the internal carotid artery at the skull base, the hypoglossal nerve is vulnerable to compression.
Source link: https://doi.org/10.1136/jnnp-2022-abn.356
Carotid artery disease is common in clinical practice and accounts for approximately 30% of ischemic strokes in the general population. Given the inflammatory characteristics of the atherosclerotic process, blood cell count indicators of systemic inflammation may be particularly useful, both from a pathophysiological and clinical perspective.
Source link: https://doi.org/10.2174/1381612826666201222155630
The aim of this report was to contribute to the emergence of carotid artery graft and preoperative CAS by investigating comorbid diseases in patients undergoing coronary artery bypass graft surgery and then investigating the effects of carotid stenosis levels on postoperative stroke. The results of 594 CABG patients aged 60 and over who underwent preoperative carotid Doppler examination were investigated. CAS increased by 0. 9 percent with an increase of one year in age, 10. 8% with male sex, 3. 6 with persistent obstructive pulmonary disease, 3. 8 with the presence of left main coronary disease, 3. 9 with the presence of chronic obstructive pulmonery disease, 3. 8 with the presence of persistent obstructive pulmonery disease, 0. 9 with increased presence of persistent obstructive pulmonary disease, 2. 9 with the s, The incidence of PAH+ DM and an age older than 65 years was 52% and above CAS in the presence of PAH + DM and an age older than 65 years was 55%, according to the decision tree report. In ten patients who underwent carotid endarterectomy, CVA was not present. In six patients with 50 percent or more stenosis who did not attend CE, Postoperative CVA was present in six patients with 50% or more stenosis who did not participate in CE. We recommend that carotid screening be done in those over 65 years old and with PAD+DM. To determine the effects of aortic atherosclerosis load, surgical intervention, and bilateral CAS presence on stroke in patients with high CAS and postoperative CVA, large populations are required.
Source link: https://doi.org/10.1532/hsf.3945
In this research, the clinical relevance of lncRNA GAS5 and miR-222-3p in the diagnosis and prognosis of CAS was investigated in order to find novel CAS biomarkers. PCR revealed the expression of GAS5 and miR-222-3p in study samples. The dual-luciferase reporter reported the connection between GAS5 and miR-222-3p. CAS patients had reduced expression of GAS5 and increased expression of miR-222-3p in comparison to the healthy controls, resulting in a significant relationship between their expression levels in CAS. With high sensitivity and specificity, GAS5 and miR-222-3p can distinguish CAS patients from the healthy controls. The GAS5 downregulation and miR-222-3p upregulation may have predicted poor CAS patients' poor prognosis and may be related to patient growth. MiR-222-3p can negatively influence GAS5's luciferase production in human vascular smooth muscle cells.
Source link: https://doi.org/10.1532/hsf.4739
Background: The anomalous artery leading to the left common carotid artery from the pulmonary artery is extremely rare. After careful preoperative analysis, such as cerebral angiography, under strict control of cerebral oxygen intake by near-infrared spectroscopy, ligation of the artery of abnormal origin is safe and feasible.
Source link: https://doi.org/10.1532/hsf.4813
Abstract : Several different methods have been used for gaining access to the distal cervical segment of the internal carotid artery or to a high carotid bifurcation. Among the various strategies discussed, it seems that the first two steps should be to gain access to the sternocleidomastoid muscle, followed by the segment or retraction of the digastric muscle posterior belly. Temporary subluxation is an additional tool that is preferable to separation of the styloid apparatus process due to its lower risk of morbidity.
Source link: https://doi.org/10.1590/1677-5449.202101932
The vascular surgeon's interest in the vascular surgeon is particularly keen, as over one-third of all strokes are caused by thromboembolism from a stenotic carotid artery, triggering carotid artery stenosis, the leading cause of stroke. This essay explores the evidence supporting the epidemiology, analysis, and surgical treatment of carotid artery stenosis that supports national guidelines.
Source link: https://doi.org/10.12968/hmed.2022.0184
BACKGROUND Idiopathic extracranial intracortid artery vasospasm is a rare cerebrovascular disorder that causes transient or permanent cerebral ischemia. ObSERVATIONS A 40-year-old woman with bilateral IEICAV had been conservatively cared for 13 years. Head rotation showed the initiation of internal carotid artery vasospasm by head rotation. Clinicians should know that simple mechanical stimulation to the ICA by head rotation could cause vaping, and that CAS should be administered at the appropriate time to prevent cerebral infarction causing significant neurological deficits.
Source link: https://doi.org/10.3171/case22254
BACKGROUND The bonnet bypass was initially described as a common carotid artery occlusion. However, the traditional first-generation low-flow superficial temporal artery bypass artery bypass for M4 middle cerebral artery bypass can be improved by performing a side-to-side bypass with an intraluminal suture technique to improve perfusion through antegrade and retrograde flow. OBSERVATIONS The authors present a reimagined STA-M4 bypass in the case of a patient with symptomatic common carotid occlusion, in which the ipsilateral STA filled in a similar fashion from the contralateral external carotid branches over the scalp vertex in a patient with symptomatic common carotid occlusion.
Source link: https://doi.org/10.3171/case2177
BACKGROUND One of the most common and risky situations during an endoscopic endosal surgery is the iatrogenic injury of the internal carotid artery. This is the first review of a Yasargil-type aneurysm clip to repair an ICA crash, preserving the artery's patency, and having a long-term follow-up, according to the authors. When compared to clipping, the authors explore the benefits and drawbacks of other vessel preservation methods. OBSERVATIONS IN OBSERVATIONS A visually impaired 56-year-old woman was diagnosed with a huge nonfunctional pituitary tumor that invaded the sphenoidal sinus, anterior and posterior ethmoidal cells, and both cavernous sinuses, with suprasellar expansion and optochiasmatic compression. LesSONS, Inc. LESSONS CANTERIAL injury during endoscopic skull base surgery results in high mortality and morbidity; it is also important to maintain carotid flow when possible to minimize short-term and long-term damage;.
Source link: https://doi.org/10.3171/case2098
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