Article type: Images in Clinical Medicine
Article
title: Internal
carotid artery occlusion mimicking artery of heubner stroke
Journal: Pan
African Medical Journal
Year: 2022
Authors: Jamir Pitton Rissardo, Ana Letícia Fornari
Caprara
E-mail: jamirrissardo@gmail.com
ABSTRACT
A 65-year-old male presenting with left upper and
lower limbs weakness with twenty-four hours of onset was admitted to our
hospital. The subject reported that the symptoms began after he rose quickly
from a chair. He was a previously healthy farmer and his family history was
negative for neurological diseases. The physical examination showed left
hyperreflexia and plantar extension. Laboratorial tests were within normal
limits. A cranial non-contrast CT scan was suggestive of infarct in the
recurrent artery of Heubner view showing hypodense round area in right medial
lenticulo-striate artery territory. Twenty-four hours after admission, the
subject was apparently normal. Upon further questioning, he admitted that he
had several similar episodes of weakness in the past year, which he thought
were normal due to his age and daily work in agriculture. He only sought
medical assistance this time because his daughter insisted. A cranial CT
angiography revealed the complete occlusion of the right extracranial internal
carotid artery. This report supports the hypothesis that the internal watershed
area is more affected by cerebral hypoperfusion than the area between the
middle cerebral artery and anterior cerebral artery. Furthermore, it is
proposed that any patient with a suggestive infarction of artery of Heubner
should be thoroughly inquired about the recurrence of symptoms and the
existence of triggers, since radiologic exams provide a presumptive diagnosis
that should be carefully analyzed together with clinical manifestations.
Keywords: Internal carotid artery, artery
of heubner, stroke
Full text available at:
https://www.panafrican-med-journal.com/content/article/42/43/full/#sec1
DOI
10.11604/pamj.2022.42.43.34826
Citation
Rissardo JP, Caprara AL. Internal carotid
artery occlusion mimicking artery of heubner stroke. Pan Afr Med J 2022;42:43.
