Carotid Stump Syndrome: Case Report and Endovascular Treatment. (22nd August 2014)

• Record Type: Journal Article
• Authors: Dakhoul, Lara Toufic; Tawk, Rabih
• Is Part Of: Journal of investigative medicine high impact case reports. Volume 2:Number 3(2014)
• Publication Date: 2014-08-22
• Subjects: neurosurgery -- carotid stump syndrome -- endovascular; Internal medicine -- Periodicals; Medical care -- Periodicals; 616.005
• DOI: 10.1177/2324709614548796
• Languages: English
• ISSNs: 2324-7096

Abstract

Objectives . To highlight the case of a patient with multiple transient ischemic attacks and visual disturbances diagnosed with carotid stump syndrome and managed with endovascular approach. Case Presentation . We present the case of a carotid stump syndrome in an elderly patient found to have moderate left internal carotid artery stenosis in response to an advertisement for carotid screening. After a medical therapeutic approach and a close follow-up, transient ischemic attacks recurred. Computed tomographic angiography showed an occlusion of the left internal carotid artery and the presence of moderate stenosis in the right internal carotid artery, which was treated by endovascular stenting and balloon insertion. One month later, the patient presented with visual disturbances due to the left carotid stump and severe stenosis of the left external carotid artery that was reapproached by endovascular stenting. Conclusion . Considerations should be given to the carotid stump syndrome as a source of emboli for ischemic strokes, and vascular assessment could be used to detect and treat this syndrome.