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Svær cerebral hæmodynamisk påvirkning afhjulpet med bypassoperation

Forfatter(e)

Malini Sagar1, Christian Stenør1 & Sverre Rosenbaum2

1) Neurologisk Afdeling, Herlev Hospital, 2) Neurologisk Afdeling, Bispebjerg Hospital

Ugeskr Læger 2021;183:V09200659

Reference: 
Ugeskr Læger 2021;183:V09200659
Blad nummer: 
Severe cerebral haemodynamic impairment treated with bypass surgery

Malini Sagar, Christian Stenør & Sverre Rosenbaum

Ugeskr Læger 2021;183:V09200659

Cerebral hypoperfusion due to steno-occlusive large artery disease poses a diagnostic challenge. This is a case report of a 72-year-old woman, presenting with recurring paroxysmal right-sided hemiparesis, dysphasia and occasionally limb-shaking transient ischaemic attacks, especially during orthostatic challenge. The condition was initially misdiagnosed as focal epilepsy. A workup revealed a left-sided carotid artery occlusion and a haemodynamic failure in the carotid distribution, seen on a 15O-H2O PET acetazolamid scan. The patient was successfully treated with an extracranial-intracranial bypass surgery.

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