Figure 1. A) Diffusion positive strokes; B) Right ICA Angiogram with 80-90% Stenosis
Figure 2. A) Right ICA post stent immediate; B) CTA at 6 months
KEY LEARNING POINTS:
A 63-year-old woman experienced transient dysarthria, mild left-sided weakness, and paresthesia of the left arm and leg. MRI demonstrates distal embolic strokes of the superior right frontal and parietal lobes. Symptomatic high-grade right Internal Carotid Artery (ICA) stenosis is confirmed. Contralateral high-grade asymptomatic stenosis of the left ICA was also present. Right ICA angioplasty and stenting with distal embolic protection was performed on a focal 80-90% post bulbar stenosis. She achieved complete and durable revascularization with
complete functional recovery and a return to her daily life. Revascularization of her asymptomatic left carotid artery is planned to further reduce her risk of a disabling stroke.