Graham E, Orjuela K, Poisson S, Biller J. Treatment challenges in idiopathic extracranial ICA vasospasm case report and review of the literature.
eNeurologicalSci 2020;
22:100304. [PMID:
33336087 PMCID:
PMC7732996 DOI:
10.1016/j.ensci.2020.100304]
[Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2020] [Revised: 11/27/2020] [Accepted: 12/04/2020] [Indexed: 11/19/2022] Open
Abstract
Idiopathic extracranial internal carotid artery (ICA) vasospasm is a rare pathological phenomenon that may lead to stroke in young patients. We report a case of an 18 year-old female with recurrent extracranial ICA vasospasm since age thirteen. We summarize published data related to this condition including all twenty-three reported cases of extracranial ICA vasospasm. We describe the various proposed pathophysiological mechanisms underlying this disorder. Various treatment modalities have been attempted but there is no known long-term effective treatment.
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