Internal Carotid Artery Pseudo Occlusion with Embolic Cerebral Ischemia and Low Flow in the Central Retinal Artery: A Diagnostic Challenge

Christoph Roehrer; Michael Ertl; Mathias Altmann; Piotr Kasprzak; Ulrich Bogdahn; Gerhard Schuierer; Felix Schlachetzki

doi:10.4081/cp.2011.e62

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Case Report

17 August 2011

Internal Carotid Artery Pseudo Occlusion with Embolic Cerebral Ischemia and Low Flow in the Central Retinal Artery: A Diagnostic Challenge

and

Institute for Neuroradiology, Regensburg University Medical Center, Bezirksklinkum Regensburg, Germany

Department of Neurology, University of Regensburg, Bezirksklinikum Regensburg, Germany

Department of Ophthalmology, Regensburg University Medical Center, Germany

⁴

Vascular and Endovascular Surgery, Regensburg University Medical Center, Germany

Clin. Pract.2011, 1(3), e62;https://doi.org/10.4081/cp.2011.e62

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Abstract

We present a rare case of internal carotid artery pseudoocclusion (ICAPO) in a 60-yearold male Caucasian patient who experienced a reversible sudden loss of vision of the right eye for 10 min followed by recurrent blurring of vision as well as dysarthria and numbness in the left face. The referring ophthalmologist admitted the patient for suspicious occlusion of the internal carotid artery causing anterior ischemic optic neuropathy (AION).

Keywords:

pseudoocclusion; internal carotid artery; ischemia; low flow; retinal artery

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