Korean Journal of Sport Science

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J Korean Neurol Assoc. 2011;29(4):343-346.
Acute Bilateral Internal Carotid Artery Territory Infarction Associated with a Variant of Aortic Arch Branching
Joong Goo Kim
Department of Neurology and Institute of Medical Science, Jeju National University School of Medicine, Jeju, Korea
대동맥궁의 변이와 관련된 양측 내경동맥 영역의 급성 뇌경색
김중구, 김지영 이정석 강지훈 강사윤 송숙근 최재철
제주대학교 의학전문대학원 신경과학교실
Abstract
Acute bilateral internal carotid artery occlusion (ICAO) is a rare form of ischemic stroke. The possible role of variants of the aortic arch in bilateral ICAO has never been reported. Two patients presented with abrupt coma with quadriplegia. Magnetic resonance images revealed acute ischemic lesions on both hemispheres, except the area supplied by the vertebrobasilar artery. Both patients showed variation of the origin of the brachiocephalic trunk and left common carotid artery. This variation might explain simultaneous bilateral carotid territory infarctions. Key Words: Bilateral internal carotid artery occlusion, Aortic arch variant, Ischemic stroke

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