Türk Beyin Damar Hast Derg. 2024; 30(2): 116-122 | DOI: 10.5505/tbdhd.2024.26097

Spontaneous recurring extracranial internal carotid artery vasospasm

Ýrem Kuru¹, Sefer Günaydýn¹, Nurdan Göçgün², Zülfikar Memiþ¹, Ebru Temel¹, Özlem Çokar^1
1University of Health Sciences Haseki Research and Training Hospital, Neurology Department, Ýstanbul, Türkiye
²University of Health Sciences Haseki Research and Training Hospital, Radiology Department, Ýstanbul, Türkiye

Spontaneous recurrent extracranial internal carotid artery vasospasm is a rare event that causes ischemic stroke in young patients. Its pathophysiology has not yet been clearly elucidated. It is a dynamic process, recur and can be diagnosed by serial cerebrovascular imaging, otherwise it is confused with internal carotid artery dissection or stenosis. Although various treatments such as calcium channel blocker, antiaggregant, anticoagulant, steroid, endovascular interventional techniques have been tried in the cases reported in the literature, no clear treatment with proven benefits has been reported. In this article, we present a 25-year-old male patient who described episodes of hemiparesis, hemihypoesthesia, and speech impairment, diagnosed serial cerebrovascular imaging.

Keywords: Spontaneous, recurrent, extracranial, internal, carotid artery, vasospasm, ischemic stroke, angiography.

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Spontan tekrarlayan ekstrakraniyal internal karotis arter vazospazmý

Ýrem Kuru¹, Sefer Günaydýn¹, Nurdan Göçgün², Zülfikar Memiþ¹, Ebru Temel¹, Özlem Çokar^1
1Saðlýk Bilimleri Üniversitesi Haseki Eðitim ve Araþtýrma Hastanesi, Nöroloji Kliniði, Ýstanbul
²Saðlýk Bilimleri Üniversitesi Haseki Eðitim ve Araþtýrma Hastanesi, Radyoloji Kliniði, Ýstanbul

Spontan tekrarlayan ekstrakraniyal internal karotis arter vazospazmý genç hastalarda iskemik inmeye sebep olan nadir rastlanan bir durumdur. Patofizyolojisi henüz net aydýnlatýlamamýþtýr. Dinamik bir durumdur, sýk tekrarlar ve seri serebrovasküler görüntülemeler ile tanýsý konulabilir, aksi halde internal karotis arter diseksiyon veya stenozu ile karýþýr. Literatürde bildirilen vakalarda kalsiyum kanal blokeri, antiagregan, antikoagülan, steroid, endovasküler giriþimsel teknikler gibi çeþitli tedaviler denenmekle birlikte kanýtlanmýþ faydasý olan net bir tedavi bildirilmemiþtir. Bu makalede hemiparezi, hemihipoestezi ve konuþmada bozulma þeklinde ataklar tarifleyen 25 yaþýnda erkek bir hastayý sunuyoruz.

Anahtar Kelimeler: Spontan, tekrarlayan, ekstrakraniyal, internal, karotis arter, vazospazm, iskemik inme, anjiyografi.

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