A Case of Occlusive Radiation Vasculopathy Presenting as Bilateral Internal Carotid Artery, Left Middle Cerebral Artery Occlusion and Literature Review

Yung-Chuan Huang; Shin-Leh Huang; Hon-Man Liu; Hou-Chang Chiu

doi:10.1159/000501902

A Case of Occlusive Radiation Vasculopathy Presenting as Bilateral Internal Carotid Artery, Left Middle Cerebral Artery Occlusion and Literature Review

Case Rep Neurol. 2020 Dec 14;12(Suppl 1):91-96. doi: 10.1159/000501902. eCollection 2020 Sep-Dec.

Authors

Yung-Chuan Huang¹, Shin-Leh Huang^{1

2}, Hon-Man Liu^{3

4}, Hou-Chang Chiu^{1

3}

Affiliations

¹ Department of Neurology, Fu Jen Catholic University Hospital, Fu Jen Catholic University, New Taipei City, Taiwan.
² Department of Biomedical Engineering, National Yang-Ming University, Taipei, Taiwan.
³ College of Medicine, Fu Jen Catholic University, New Taipei City, Taiwan.
⁴ Department of Radiology and Medical Imaging, Fu Jen Catholic University Hospital, Fu Jen Catholic University, New Taipei City, Taiwan.

Abstract

Radiation vasculopathy is one of the rare causes of ischemic stroke. Carotid stenosis with large volume infarction may occur years after radiation therapy for head or neck cancer. We report a case of a patient with bilateral internal carotid artery occlusion presenting with left middle cerebral artery infarct 10 years after receiving treatment for tongue cancer. A literature review and discussion of treatment for such patients are presented.

Keywords: Carotid stenosis; Head and neck cancer; Ischemic stroke; Radiation vasculopathy; Radiotherapy.

Publication types

Case Reports