Hong Kong Med J 1999;5:391-3 | Number 4, December 1999
Carotid endarterectomy for non-hemispheric cerebrovascular symptoms: an unusual indication
AK AhChong, CB Law, KM Chiu
Department of Surgery, Kwong Wah Hospital, Waterloo Road, Kowloon, Hong Kong
We report on an 80-year-old man who presented with non-hemispheric cerebrovascular symptoms in the form of daily multiple syncope. The left common carotid artery, its two main divisions, and the right vertebral artery were completely occluded. There was high-grade stenosis in the right carotid artery (82%) and left vertebral artery (60%). After excluding other causes of syncope such as postural hypotension, hypoglycaemia, cardiac arrhythymia, and epileptic seizure, a diagnosis of global ischaemia was made. The patient subsequently underwent carotid endarterectomy and the symptoms were relieved. This case represents an unusual indication for carotid endarterectomy.
Key words: Carotid arteries/surgery; Cerebrovascular disorders; Endarterectomy; Vertebrobasilar insufficiency; Syncope/etiology
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