دورية أكاديمية
أعرض في EDS

Homolateral Embolic Stroke After Emergency Ligation of the Common Carotid Artery to Stop Heavy Bleeding Caused by Carotid Blowout Syndrome.

التفاصيل البيبلوغرافية
العنوان: Homolateral Embolic Stroke After Emergency Ligation of the Common Carotid Artery to Stop Heavy Bleeding Caused by Carotid Blowout Syndrome.
المؤلفون: Finsterer J; Neurologlical Department, Neurology and Neurophysiology Center, Vienna, Austria., Mehri S; Biochemistry Laboratory, LR12ES05 'Nutrition-Functional Foods and Vascular Health,' Faculty of Medicine, Monastir, Tunisia.
المصدر: The Journal of craniofacial surgery [J Craniofac Surg] 2024 Jul-Aug 01; Vol. 35 (5), pp. e434-e436. Date of Electronic Publication: 2024 Apr 30.
نوع المنشور: Case Reports; Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 9010410 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1536-3732 (Electronic) Linking ISSN: 10492275 NLM ISO Abbreviation: J Craniofac Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: <2014-> : Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: Burlington, Ont. : B.C. Decker, c1990-
مواضيع طبية MeSH: Carotid Artery, Common*/surgery , Stroke*/etiology , Stroke*/surgery, Humans ; Ligation ; Male ; Aged ; Carcinoma, Squamous Cell/surgery ; Carcinoma, Squamous Cell/complications ; Carotid Artery Diseases/surgery ; Carotid Artery Diseases/complications ; Syndrome ; Hypopharyngeal Neoplasms/surgery ; Hypopharyngeal Neoplasms/complications
مستخلص: Emergency common carotid artery (CCA) ligation for bleeding control during carotid blowout syndrome with consecutive embolic stroke has been reported rarely. The patient is a 70-year-old man, who was suffering from acute profuse bleeding from the left superior thyroid artery into the piriformis sinus, which was not controlled other than by ligation of the left CCA. The cause of the bleeding remained unclear but was suspected to be related to his history of being positive for squamous cell carcinoma of the left hypopharynx with ari and postcricoid infiltration, diagnosed at age 58. Squamous cell carcinoma was treated with local resection, chemotherapy (docetaxel, carboplatin, and cetuximab), and radiotherapy. Neurological examination 4 days after CCA ligation revealed multiple subacute embolic strokes in the territory of the left middle cerebral artery, macroangiopathy of the extra and intracranial cerebral arteries, and hypoplasia of the left vertebral artery. This case demonstrates that carotid blowout syndrome may require CCA ligation when external carotid artery ligation is not possible, and that ligation can be complicated by an asymptomatic embolic stroke.
Competing Interests: The authors report no conflicts of interest.
(Copyright © 2024 by Mutaz B. Habal, MD.)
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تواريخ الأحداث: Date Created: 20240430 Date Completed: 20240723 Latest Revision: 20240723
رمز التحديث: 20240723
DOI: 10.1097/SCS.0000000000010152
PMID: 38687042
قاعدة البيانات: MEDLINE
الوصف
تدمد:1536-3732
DOI:10.1097/SCS.0000000000010152