You are here

Article Text

Article menu
Download PDFPDF
Neurology
Near-infrared spectroscopy in the diagnosis and management of acute internal carotid artery occlusion
  1. Andrew A Moses1,
  2. Vadim Zhigin2,
  3. Likowsky Desir2,
  4. Heustein Sy2 and
  5. Jason A Ellis2
  1. 1Department of Nephrology, Zucker School of Medicine at Hofstra/Northwell, Lenox Hill Hospital, New York, New York, USA
  2. 2Department of Neurosurgery, Zucker School of Medicine at Hofstra/Northwell, New York, New York, USA
  1. Correspondence to Dr Andrew A Moses; amoses2{at}northwell.edu

Abstract

Acute internal carotid artery occlusion is a neurological emergency that can result in cerebral infarction. Superficial temporal artery to middle cerebral artery bypass is one option to treat a subset of such patients. Near-infrared spectroscopy (NIRS) is an emerging non-invasive technique that holds promise to facilitate the management of carotid occlusion patients by monitoring the oxygen saturation of specific brain areas at risk for hypoperfusion and infarction. This case report describes a man in his 50s who presented with left-sided weakness due to acute right internal carotid artery occlusion. The patient was successfully managed both medically and surgically while incorporating data from NIRS for decision-making.

  • Stroke
  • Brain Injuries, Traumatic
  • Neurological injury

https://doi.org/10.1136/bcr-2024-261413

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    View Full Text

    Footnotes

    • X @AMosesMD

    • Contributors The following authors were responsible for drafting of the text, sourcing, and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: AAM, LD, VZ, HS and JE. The following authors gave final approval of the manuscript: AAM and JE.

    • Funding This study was funded by Northwell Health 2022 LHH and MEETH Zucker Awards.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

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