Successful Management of Carotid Artery Stenosis Complicated by Neurological Deficits

Patient Profile:

A 60-year-old female presented with complaints of left upper and lower limb weakness, with a power of 3/5. Imaging revealed an ulcerated atheromatous plaque causing 80-90% stenosis in the internal carotid artery. Over time, the patient’s weakness progressed to 0/5, accompanied by aphasia, possibly due to hypoperfusion.

Diagnostic Imaging:

DSA and MRI scans confirmed the presence of an ulcerated atheromatous plaque, causing significant stenosis in the internal carotid artery.

Clinical Progression:

The patient’s condition deteriorated, with worsening weakness and aphasia, indicating compromised perfusion to the brain.

Intervention:

An emergency carotid endarterectomy with vein patch plasty was performed promptly to address the carotid artery stenosis and restore adequate blood flow to the brain.

Outcome:

Following the procedure, the patient experienced complete recovery of neurological deficits and was discharged in a stable condition.

Acknowledgments:

The successful outcome of the case was attributed to the collaborative efforts of the medical team, the ICU team, and the Anesthesia team, whose support was invaluable throughout the patient’s management.

About Author –

Dr. S Srikanth Raju,Senior Consultant Vascular & Endovascular Surgeon, Foot Care Specialist, Yashoda Hospital, Hyderabad
MBBS, MS (General Surgery), DNB (Vascular Surgery), Department of Vascular & Endovascular Surgery