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Carotid endarterectomy for symptomatic carotid artery stenosis in a patient who presented with psychosis
  1. Ahmed Hassanin1,2,
  2. Zachary Ramsamaroo1,
  3. Mary Barry1 and
  4. Tim Cassidy1
  1. 1Department of Vascular Surgery, St Vincent’s University Hospital, Dublin, Ireland
  2. 2Vascular Surgery Department, Sohag University, Sohag, Egypt
  1. Correspondence to Dr Ahmed Hassanin; ahmedhassanin15{at}


Acute psychosis is an unusual presentation of stroke particularly in a patient with no history of psychiatric illness. We report a case where an elderly male patient with self-inflicted injuries caused by acute psychosis. The investigation confirmed an acute left hemispherical stroke associated with a high-grade left internal carotid artery stenosis. The patient underwent a successful left carotid endarterectomy. His psychotic symptoms resolved and he was discharged home without the need for neuroleptic medication.

  • stroke
  • suicide (psychiatry)
  • depressive disorder
  • vascular surgery

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  • Contributors AH discussed the idea of reporting this rare case with MB and TC. MB and TC encouraged AH to search the literature for similar cases. AH consented the patient and wrote the first draft with a special focus on the surgical part. ZR wrote the neurological part. MB and TC revised the drafts and helped in selecting the figures.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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