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KMID : 1024720200100010033
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Geriatric Rehabilitation
2020 Volume.10 No. 1 p.33 ~ p.38
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Left Vertebral Artery Embolic Stroke after Coronary Angiography : Case Report
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Kim Jung-In
Kang Jung-Joong
Paek Sung-Woo
Kim Tae-Hee
Park Dong-Sun
Kim Dong-Kyu
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Abstract
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The use of an invasive therapeutic method, coronary angiography (CAG) and transfemoral cerebral angiography (TFCA) have recently increased in stroke patients. The symptomatic central nervous system complication rate after CAG is reported 0.1 to 1%. Because of anatomic reasons, reports of embolic stroke of vertebral artery are rare. We experienced a patient with a right basal ganglia lacunar infarction that recurred left vertebral artery embolic stroke after undergoing CAG as a diagnostic tool. The patient presented with motor weakness and dizziness with aggravated dysarthria after CAG. The embolic type of multifocal cerebellar and pontine infarction was diagnosed with diffusion weighted MRI. CAG is a popular modality because it’s less invasive for investigating cardiac vessels. But clinicians should remind and evaluate individual variables of vessels and embolic potentials before procedure. And it will help to reduce complications may occur when performing invasive methods such as CAG and TFCA.
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KEYWORD
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Coronary angiography, Embolic stroke, Vertebral artery
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