Circuitous embolic hemorrhagic stroke: carotid pseudoaneurysm to fetal posterior cerebral artery conduit: a case report
2008

Embolic Stroke from Carotid Pseudoaneurysm

Sample size: 1 publication Evidence: low

Author Information

Author(s): Hoque Romy, Gonzalez-Toledo Eduardo, Minagar Alireza, Kelley Roger E

Primary Institution: Louisiana State University Health Sciences Center

Hypothesis

Can a carotid artery pseudoaneurysm lead to a fetal posterior cerebral artery embolic stroke?

Conclusion

The case illustrates the potential for embolic strokes from carotid pseudoaneurysms and highlights the unique anatomy of the fetal origin PCA.

Supporting Evidence

  • Embolism is the predominant cause of superficial PCA infarction.
  • Early hemorrhagic transformation of cerebral infarcts has been linked to embolism.
  • Fibromuscular dysplasia can predispose individuals to vascular dissection.

Takeaway

A man had a stroke because a bulge in his neck artery sent a blood clot to his brain, which is a rare situation.

Methodology

The patient underwent imaging studies and interventional procedures including stenting and coiling.

Limitations

The study is based on a single case report, limiting generalizability.

Participant Demographics

51-year-old right-handed male with a history of hypertension and hyperlipidemia.

Digital Object Identifier (DOI)

10.1186/1752-1947-2-61

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