Subacute corticobasal syndrome following internal carotid endarterectomy

Marques, Andréa Grano; Bourgois, Nathalie; Vidal, Thierry; Ferrier, A; Mathais, Sophie; Merlin, C.; Valla, C.; Schlichting, E. de; Deffond, D; Durif, Franck

doi:10.1016/j.neurol.2017.06.017

Cited by 3 publications

(3 citation statements)

References 11 publications

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“…Marques et al described the occurrence of unexplained hemiplegia with consecutive homolateral CBS in two patients with metabolic disorders and prior endarterectomy due to ICA stenosis. In spite of the absence of visible ischemic lesions in these patients, it can be hypothesized that iatrogenic transient hypoxia and consequent pathologic change in neuronal networks of cortex and basal ganglia resulted in CBS ( Marques et al, 2018 ). Additionally, other authors Vitt et al (2020) ; Miyaji et al (2013) , and Kim et al (2009) described patients with symptoms suggesting CBS with ICA stenosis ( Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

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The Significance of Vascular Pathogenesis in the Examination of Corticobasal Syndrome

Dunalska

Pikul

Schok

et al. 2021

Front. Aging Neurosci.

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Corticobasal syndrome (CBS) is a clinical entity, classified as an atypical Parkinsonism, characterized by both motor and higher cortical dysfunctions. The clinical manifestation of CBS is associated with several pathologies, among which corticobasal degeneration (CBD) is the most common. The aim of our study was to elaborate on the possible vascular pathogenesis of CBS and consider types of vascular lesions in these cases. Several cases of vascular CBS are described in the literature. The majority of presented patients were affected by internal carotid artery (ICA) stenosis and ischemic strokes; few cases were associated with vascular malformations or autoimmune diseases. Vascular CBS is preceded by an abrupt onset. The clinical manifestation does not significantly differ with non-vascular CBS. Patients with vascular CBS are usually elderly; often with coexistent hypertension, dyslipidemia and diabetes mellitus. Inferring from our observations, cerebral hypoperfusion can play a significant role in neuropathological changes in neurodegenerative diseases. To the best of our knowledge paper is the first comprehensive review of vascular CBS and we are positive that our observations show that further research concerning the vascular pathogenesis of tauopathy atypical Parkinsonism is required.

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Section: Resultsmentioning

confidence: 99%

“…Some patients, who developed symptoms of CBS, suffered from hypertension. Marques et al (2018) suggested that dysregulation of the cerebrovascular system and hypertension together lead to an increase of cerebral blood flow, which could potentially cause brain injury and support vascular etiology of CBS.…”

Section: Resultsmentioning

confidence: 99%

The Significance of Vascular Pathogenesis in the Examination of Corticobasal Syndrome

Dunalska

Pikul

Schok

et al. 2021

Front. Aging Neurosci.

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“…10 Corticobasal syndrome secondary to cerebrovascular disease is much less common and only reported in a few case reports in patients with ipsilateral ICA occlusions or following carotid endarterectomy. [11][12][13] The precise mechanisms underlying cerebral atrophy related to chronic hypoperfusion are still incompletely understood; however, by using positron emission tomography, Yamauchi and colleagues demonstrated evidence of increased oxygen extraction, termed misery perfusion, in tissues supplied by a stenotic carotid artery. 14 This response serves as an early compensatory response to decreased CBF but over time is highly predictive of focal atrophy.…”

Section: Discussionmentioning

confidence: 99%

Acquired Hemicerebral Atrophy Secondary to Chronic Internal Carotid Steno-Occlusive Disease: A Case Series

Vitt

Hamedani

Horn

et al. 2019

The Neurohospitalist

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Cerebral atrophy is a common finding in elderly patients; however, cerebrovascular disease causing progressive focal cerebral atrophy and dysfunction is unusual. In this report, we present 3 cases of hemicerebral atrophy due to ipsilateral internal carotid artery (ICA) stenosis or occlusion mimicking neurodegenerative conditions. Patient 1 had a frontal dysexecutive syndrome potentially consistent with a diagnosis of behavioral variant frontotemporal dementia; however, neuroimaging revealed a chronically occluded left ICA and a pattern of atrophy restricted to the left middle cerebral artery territory, suggestive of a vascular etiology. Patient 2 presented with progressively worsening seizures and right-sided weakness consistent with left hemispheric dysfunction, with radiographic evidence of left hemicerebral atrophy. Angiography revealed a chronic dissection of the left ICA leading to left cerebral hypoperfusion. Patient 3 had asymmetric parkinsonism, alien limb, and cognitive impairment consistent with a diagnosis of corticobasal syndrome. His imaging, however, revealed atrophy and encephalomalacia within the anterior circulation watershed territories with chronic, severe stenosis of the left ICA suggestive of a chronic hypoperfused state. In this case series, we report 3 examples of hemicerebral atrophy secondary to chronic ipsilateral ICA vascular disease with diverse progressive clinical symptoms mimicking primary neurodegenerative conditions. This case series highlights the importance of considering chronic hypoperfusion and large-vessel severe stenosis or occlusion in patients with cognitive impairment and evidence of asymmetric brain atrophy. In addition to symptomatic treatment, the management of vascular risk factors including treatment with antiplatelet agents, statins, and revascularization procedures can be considered.

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Hemidystonia-hemiatrophy syndrome following placement of internal carotid artery flow diverter stent

de Souza

2024

Acta Neurol Belg

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Subacute corticobasal syndrome following internal carotid endarterectomy

Cited by 3 publications

References 11 publications

The Significance of Vascular Pathogenesis in the Examination of Corticobasal Syndrome

The Significance of Vascular Pathogenesis in the Examination of Corticobasal Syndrome

Acquired Hemicerebral Atrophy Secondary to Chronic Internal Carotid Steno-Occlusive Disease: A Case Series

Hemidystonia-hemiatrophy syndrome following placement of internal carotid artery flow diverter stent

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