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Visual suppression of vestibulo-ocular reflex in patients treated with carotid artery revascularization: A potential biomarker for cerebral perfusion
Carotid endarterectomy (CEA) and carotid artery stenting (CAS) are common treatments for ischemic stroke prevention in patients with carotid artery stenosis. However, the beneficial effects of CEA/CAS for cerebral hypoperfusion due to carotid artery stenosis have yet to be fully established. As dizziness is a common symptom in patients with carotid artery stenosis, we aimed to evaluate the effects of CEA/CAS on cerebral function in patients with carotid artery stenosis, using equilibrium function tests.
Source: Journal of the Neurological Sciences - December 25, 2022 Category: Neurology Authors: Shigeta Miyake, Koji Takahashi, Yasunobu Nakai, Yu Amano, Ryoo Yamamoto, Kazumitsu Amari, Hiroya Hara, Ken Johkura Source Type: research

Significance of concurrent ipsilateral intracranial carotid artery stenosis in carotid revascularization
A 71-year-old male presenting with a transient ischemic attack was found to have an ipsilateral severe proximal right internal carotid artery (ICA) stenosis as graded per the North American Symptomatic Carotid Endarterectomy Trial (NASCET) criteria. He was subsequently treated with right internal carotid endarterectomy (CEA). The surgery was complicated by a right sided watershed infarction determined by magnetic resonance imaging (MRI) of the head. His post-surgery National Institutes of Health Stroke Scale score was 6 and the 90  days modified Rankin Scale score was 3.
Source: Journal of the Neurological Sciences - February 19, 2021 Category: Neurology Authors: Riwaj Bhagat, Allison Muha Tags: Letter to the Editor Source Type: research

Risk of perioperative neck hematoma in TIA and non-disabling stroke patients with symptomatic carotid artery stenosis undergoing endarterectomy within 14  days from cerebrovascular event
Perioperative neck hematoma (PNH) requiring re-intervention is an important complication after carotid endarterectomy (CEA). There are limited data regarding the potential risk factors associated with PNH. The aim of this prospective, multicenter study was to document the rate of PNH in symptomatic carotid artery stenosis (sCAS) patients treated with CEA within the first 14  days of cerebrovascular symptom onset and to identify possible predictors of this complication.
Source: Journal of the Neurological Sciences - November 21, 2019 Category: Neurology Authors: Andromachi Roussopoulou, Andreas Lazaris, Georgios Tsivgoulis, Christos Krogias, Konstantinos Moulakakis, George S. Georgiadis, John D. Kakisis, Christina Zompola, Simon Faissner, Lina Palaiodimou, Aikaterini Theodorou, Thomas Hummel, Apostolos Safouris, Source Type: research