The patient came to the clinic 30-January-2006 complaining right
sided weakness with dysarthria sudden onset 18-January-2006. He is
known hypertensive for 7 years in capoten 50 mg three times a day,
tenormin 100 mg once daily modeuretic once daily and baby aspirin
The patient was sent for MRI investigations and
cardio-consultation. The patient came 01-March-2006 and
stenting of the coronaries were performed including stenting of the
left carotid. The patient neurological status showed slight
deterioration, but the hypertension became milder in severity.
The patient came 26-April-2006 with progressing deterioration
with difficulty in speech and spastic right hand with
difficult walking, nominal aphasia, acalculia, right hemihypalgesia
and hemiparesis more the upper limb.
The patient was sent for another investigation. MRA showed
complete occlusion of the left ICA and partial of the proximal
segment of the ECA.
Considering the progressive deterioration of his neurological
course, carotid atherectomy of the left ICA was advised.