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J Korean Neurol Assoc. 2006;24(6):618-621.
- A Case of Emergency Carotid Endarterectomy in a Patient with Progressing Stroke from Severe Internal Carotid Artery Stenosis
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A-Hyun Cho
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Departments of Neurology, Vascular Surgerya, University of Ulsan College of Medicine, Seoul, Korea
- 심한 우측 내경동맥 협착증으로 응급 경동맥 내막절제술을 시행한 진행성 뇌졸중 환자 1예
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조아현, 권태원a 이재홍
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울산대학교 의과대학 신경과학교실, 혈관외과학교실a
- Abstract
- In highly selected patients with acute internal carotid artery (ICA) steno-occlusion, prompt restoration might rescue a large ischemic penumbra. We report a 73-year-old man with left hemiparesis, which aggravated with the development of cortical symptoms. MRI & MRA revealed right ICA steno-occlusion and perfusion-diffusion mismatch. The patient underwent emergent carotid endarterectomy and showed clinical improvement without significant complications. The follow-up MRI showed improved perfusion without a new lesion.
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