Please wait a minute...
 Home  Journals Subscription Open Access About Us
Just Accepted  |  Online First  |  Current Issue  |  Archive  |  Special Issues  |  Featured Articles  |  Most Downloaded
Journal of Translational Neuroscience    2019, Vol. 4 Issue (2) : 31-38
Case Report
Clinical characteristics and treatment strategies of acute ischemic stroke with internal carotid artery occlusion: a case report
Yi Bao*, Lixia Ma, Xiaodong Liu, Guangjian Liu, Ying Wang
Department of Neurology, Taihe Hospital Affiliated to Hubei University of Medicine, Shiyan, Hubei 442000, China
Download: PDF(9385 KB)  
Export: BibTeX | EndNote | Reference Manager | ProCite | RefWorks
Abstract Acute ischemic stroke has the characteristics of high disability, lethality and recurrence rate, which seriously threatens the health of middle-aged and elderly people. This article describes the acute ischemic stroke with internal carotid artery occlusion as the main clinical feature and discusses its treatment strategy. Treatment remedies: clinical diagnosis was carried out based on the present medical history, physical examination and craniocerebral CT (computed tomography). Neurological function was improved by intravenous thrombolysis, cerebrovascular angiography was used to clarify cerebrovascular occlusion, cerebral blood supply was identified by CT perfusion, and neurological function recovery was followed up. After intravenous thrombolysis, the patient’s consciousness turned clear and the right limb muscle strength recovery was not obvious, but the patient did not receive bridging therapy. Cerebral angiography showed about 90% stenosis at the beginning of the left internal carotid artery, and the blood flow terminated at the C7 segment. Cerebral CT perfusion imaging showed decreased perfusion in the left cerebral hemisphere, but the patient did not receive carotid endarterectomy and vascular bypass treatment. Post treatment evaluating: follow-up showed that NIHSS (National Institute of Health stroke scale) score was significantly decreased and limb function was significantly restored. Conclusion: early intravenous thrombolytic therapy can help reduce the area of ischemic penumbra and improve long-term prognosis. Severe vascular stenosis can stimulate vascular compensation, significantly reduce the range of ischemia when thrombus occurs, and effectively reduce the disability rate without bridging therapy. Whether vascular stenosis and occlusion are treated by vascular bypass, etc., individualized plans should be made according to vascular compensation.
Keywords acute ischemic stroke      internal carotid artery occlusion      intravenous thrombolysis      digital substraction angiography (DSA)      carotid endarterectomy      ischemic penumbra     
Issue Date: 10 November 2019
 Cite this article:   
Yi Bao, Lixia Ma, Xiaodong Liu, Guangjian Liu, Ying Wang. Clinical characteristics and treatment strategies of acute ischemic stroke with internal carotid artery occlusion: a case report[J]. Journal of Translational Neuroscience,2019, 4(2): 31-38.
E-mail this article
E-mail Alert
Articles by authors
Full text



Copyright © 2014 Higher Education Press, All Rights Reserved. Powered by Beijing Magtech Co. Ltd
京ICP备12020869号-1 京ICP证150856号  京公网安备 11010202008535号
Service: 010-58556313 (Technology); 010-58556485 (Subscription) E-mail: