When the fat hits the brain—salvage STA–MCA bypass for an intracranial ICA occlusion due to a fat embolus. Issue 1 (9th January 2020)

• Record Type: Journal Article
• Authors: Van Der Veken, Jorn; Lo Presti, Anna; Mulcahy, Michael J; Stoodley, Marcus Andrew
• Is Part Of: BMJ neurology open. Volume 2:Issue 1(2020)
• Publication Date: 2020-01-09
• Subjects: stroke -- neurosurgery; Neurology -- Periodicals; 616.8
• DOI: 10.1136/bmjno-2019-000017
• Languages: English
• ISSNs: 2632-6140

Abstract

Abstract : Background: Large fat embolus is a rare but potential reversible cause of ischaemic stroke. Methods and results: We describe the neurosurgical management of a complete right internal carotid artery occlusion due to a large fat embolus, caused by a mitral valve replacement. Conclusion: Knowledge of acute cerebral ischaemia due to large fat embolism and its hallmark 'hypodense artery' is mandatory. Extracranial to intracranial bypass is a feasible rescue treatment after failure of endovascular embolectomy.