Carotid stump syndrome: A case report
- Authors:
- Xu Zhang
- Shixiu Shao
- Xueping Zheng
- Xiang Gao
- Yong Zhang
View Affiliations
Affiliations: Department of Neurology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong 266000, P.R. China, Department of Urology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong 266000, P.R. China
- Published online on: July 20, 2015 https://doi.org/10.3892/etm.2015.2648
-
Pages:
1161-1164
Metrics: Total
Views: 0 (Spandidos Publications: | PMC Statistics: )
Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )
This article is mentioned in:
Abstract
Carotid stump syndrome (CSS) is known to be one of the causes of recurrent ipsilateral ischemic stroke following the occlusion of the internal carotid artery (ICA). The present study describes a case of left CSS in a 50‑year‑old patient presenting with a central retinal artery embolism following internal carotid and middle cerebral artery occlusion. The central retinal artery embolism was believed to be a consequence of microemboli, which originated from the stump of the occluded ICA, passing into the ophthalmic artery due to external carotid‑internal carotid anastomotic channels, although the other possible pathophysiological causes of this condition are discussed. Digital subtraction angiography of the patient showed trickle flow in the occluded ICA during the venous phase, by which the stump emboli may have been transported to the ophthalmic artery. The patient was successfully treated with anticoagulation therapy without surgical or endovascular treatment.
View References
|
1
|
Barnett HJ, Peerless SJ and Kaufmann JC:
‘Stump’ on internal carotid artery - a source for further cerebral
embolic ischemia. Stroke. 9:448–456. 1978. View Article : Google Scholar : PubMed/NCBI
|
|
2
|
Quill DS, Colgan MP and Sumner DS: Carotid
stump syndrome: A colour-coded Doppler flow study. Eur J Vasc Surg.
3:79–83. 1989. View Article : Google Scholar : PubMed/NCBI
|
|
3
|
Eikelboom BC and Ackerstaff RG:
Preoperative prediction of cerebral ischaemia due to carotid
occlusion. Eur J Vasc Surg. 7(Suppl A): 21–24. 1993. View Article : Google Scholar : PubMed/NCBI
|
|
4
|
Irvine CD: The significance of one
occluded internal carotid artery. Eur J Vasc Endovasc Surg.
16:91–93. 1998. View Article : Google Scholar : PubMed/NCBI
|
|
5
|
Nicholls SC, Kohler TR, Bergelin RO,
Primozich JF, Lawrence RL and Strandness DE Jr: Carotid artery
occlusion: Natural history. J Vasc Surg. 4:479–485. 1986.
View Article : Google Scholar : PubMed/NCBI
|
|
6
|
Kawano H, Inatomi Y, Hirano T, Yonehara T
and Uchino M: Anticoagulation therapy for vertebral artery stump
syndrome. J Neurol Sci. 295:125–127. 2010. View Article : Google Scholar : PubMed/NCBI
|
|
7
|
Fields WS and Lemak NA: Joint study of
extracranial arterial occlusion: X. Internal carotid artery
occlusion. JAMA. 235:2734–2738. 1976. View Article : Google Scholar : PubMed/NCBI
|
|
8
|
Kawano H, Inatomi Y, Hirano T and Yonehara
T: Vertebral artery stump syndrome in acute ischemic stroke. J
Neurol Sci. 324:74–79. 2013. View Article : Google Scholar : PubMed/NCBI
|
|
9
|
Lakshminarayan R, Scott PM, Robinson GJ
and Ettles DF: Carotid stump syndrome: Pathophysiology and
endovascular treatment options. Cardiovasc Intervent Radiol.
34(Suppl 2): S48–S52. 2011. View Article : Google Scholar : PubMed/NCBI
|
|
10
|
Kumar SM, Wang JC, Barry MC, Farrell L,
Kelly CJ, Fitzgerald PH, Leahy A and Hayes DB: Carotid stump
syndrome: Outcome from surgical management. Eur J Vasc Endovasc
Surg. 21:214–219. 2001. View Article : Google Scholar : PubMed/NCBI
|
|
11
|
Hrbáč T, Beneš V, Širůček P, Jonszta T,
Herzig R, Procházka V and Skoloudík D: Safety and efficacy of
surgical treatment of carotid stump syndrome: Pilot study. Ann Vasc
Surg. 26:797–801. 2012. View Article : Google Scholar : PubMed/NCBI
|
|
12
|
Naylor AR, Bell PR and Bolia A:
Endovascular treatment of carotid stump syndrome. J Vasc Surg.
38:593–595. 2003. View Article : Google Scholar : PubMed/NCBI
|
|
13
|
Nano G, Dalainas I, Casana R, Malacrida G
and Tealdi DG: Endovascular treatment of the carotid stump
syndrome. Cardiovasc Intervent Radiol. 29:140–142. 2006. View Article : Google Scholar : PubMed/NCBI
|
