carotid stenosis/cefalea

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Flow-diversion headaches in a patient with high-grade internal carotid artery stenosis.

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BACKGROUND High-grade stenosis of the internal carotid artery (ICA) may result in flow diversion to the external carotid artery (ECA) and its branches. Head and facial pain secondary to flow-diversion to ECA and increase in regional blood flow are under-recognized and unreported. METHODS We report a

Internal carotid artery stenosis associated with giant cell arteritis: case report and discussion.

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BACKGROUND Cerebrovascular ischemic events associated with giant cell arteritis (GCA) are uncommon and have been reported in 3%-4% of patients. We describe a case report of GCA associated with intracranial stenosis and review various angiographic findings. METHODS A 66-year-old man presented with

Resolution of carotid stenosis pre-carotid intervention: A case for selective preoperative duplex ultrasound.

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BACKGROUND Spontaneous resolution of carotid stenosis is a phenomenon that has been described in literature in the past. At present it is not routine practise to scan patients prior to carotid endarterectomy surgery within the UK. METHODS A 58 year old female presented to hospital with a history of

Recurrence of cluster headache after carotid thrombendarterectomy.

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The pathophysiology of cluster headache is largely unknown. One important contributing factor may be an abnormal intracranial-extracranial hemodynamic state. A male patient suffered from chronic left-sided cluster headache for about 15 years. After the institution of lithium therapy the symptoms

[Late onset visual aura associated with a carotid artery stenosis reversible after endarterectomy].

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BACKGROUND Visual aura is the most common type of aura. Onset of visual aura occurring for the first time in an elderly person is atypical, even though late-life migraine accompaniments are well-recognized. METHODS We report the case of a 72-year-old woman with a past history of migraine without

The evaluation of the sense of hearing in patients with carotid artery stenosis within the extracranial segments.

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Stenosis of arteries that supplies blood to the brain is one of the main causes of ischemic stroke which is the third most common cause of deaths in Europe. Atherosclerosis of carotid and vertebral arteries is responsible for 20% of the ischemic stroke cases. Stenosis may be either asymptomatic or

[Headache after carotid endarteriectomy].

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The incidence and clinical features of headache in the early postoperative period after unilateral carotid endarterectomy were monitored in patients who had not complained of preoperative recurrent headache. The study included 187 patients (50 females and 147 males), mean age 63 years. Headache was

Headache following carotid endarterectomy: a prospective study.

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The occurrence of headache in the 28 days following surgery was studied in 50 consecutive patients (14F and 36M, mean aged 70 years) who underwent carotid endarterectomy for atheromatous carotid stenosis. Thirty-one patients (62%) reported headache. Headache occurred in the first five days after

Staged carotid artery stenting in patients with severe carotid stenosis: Multicenter experience.

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Cerebral hyperperfusion syndrome (CHS) is serious complication after carotid artery stenting (CAS) caused by decreased cerebral vasoreactivity (CVR) due to long standing hypoperfusion of the brain. We hypothesized that partial dilatation of carotid stenosis would allow the recovery of CVR, and

The use of high-resolution MRI to detect thrombosis and lipid-rich carotid artery plaques in a patient with homozygous familial hypercholesterolemia.

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Homozygous familial hypercholesterolemia is a rarely agentic disorder of the lipoprotein metabolism intimately related to premature atherosclerotic cardiovascular disease that can lead to high disability and mortality. Homozygous familial hypercholesterolemia typically affects not only the aortic

[Internal carotid stenosis and giant cell arteritis].

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We report on the case of a 69-year-old man admitted with a transient ischemic attack preceded by a two months history of severe headache. Giant cell arteritis was diagnosed by means of temporal artery biopsy. Angiography showed an intra- and extracranial stenosis of the left internal carotid artery.

[Presurgical endovascular treatment of symptomatic carotid stenosis caused by a meningioma of the planum sphenoidale].

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BACKGROUND Cerebral infarction is a very rare presenting symptom of a meningioma. This form of clinical onset poses the challenge of treating ischaemic events before dealing with the tumour surgically. METHODS A 48-year-old woman from Georgia who visited due to loss of strength in the right-hand

Severe symptomatic intracranial internal carotid artery stenosis treated with intracranial stenting: a single center study with 58 patients.

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OBJECTIVE We aimed to investigate the safety and effectiveness of intracranial stenting in a population with severe (≥ 70%) symptomatic intracranial internal carotid artery (ICA) atherosclerotic stenosis. METHODS Fifty-eight patients with severe intracranial ICA atherosclerotic stenosis were

Cerebral hyperperfusion syndrome: an etiology of seizures following carotid endarterectomy.

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Cerebral hyperperfusion syndrome after carotid endarterectomy is an uncommon but distressing complication. Findings in nearly all these patients include the presence of ipsilateral high-grade carotid artery stenosis, postoperative ipsilateral headache followed by seizures, and transient neurologic

[Hyperperfusion syndrome].

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Hyperperfusion syndrome (HPS) is a neurological syndrome, which consists of a triad of unilateral headache, seizures and focal neurological deficits. In its extreme form it can present as an intracerebral hemorrhage. Originally HPS was described in patients undergoing carotid endarterectomies for

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