Therapeutic effect of endovascular treatment on patients with epileptic attack induced by carotid artery or vertebral artery stenosis
10.3760/cma.j.issn.1671-8925.2012.12.020
- VernacularTitle:血管内介入治疗颅内外动脉狭窄引起癫痫发作的疗效观察
- Author:
Xue-Jin TAN
1
;
Wen-Bin WU
Author Information
1. 四川省人民医院神经内科
- Keywords:
Epilepsy;
Carotid artery;
Vertebral artery;
Stenosis;
Endovascular treatment
- From:
Chinese Journal of Neuromedicine
2012;11(12):1271-1273
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the therapeutic effect of endovascular treatment on patients with epileptic attack induced by carotid artery or vertebral artery stenosis.Methods Two epileptic attack patients,diagnosed as having symptomatic carotid artery or vertebral artery stenosis by DSA,were performed endovascular stenting and balloon dilation.Case one had a serious artery stenosis at the left original internal carotid artery and moderate artery stenosis at the right proximal internal carotid artery and vertebral artery.Case two had 1 occlusion at the right original intemal carotid artery and serious artery stenosis at the clinoid segment of left internal carotid artery and the double proximal vertebral arteries restenosis after percutaneous transluminal angioplasty and stenting (PTAS) for symptomatic ostial vertebral artery stenosis.Two patients were treated with PTAS and balloon angioplasty.Follow up was performed for one to three years.Results The clinical symptoms of these two patients disappeared aftter the operation.Case one was followed up for almost 3 years and case two for more than one year; no relapse was noted for their regular taking platelet aggregation inhibitor and without taking antiepileptic drug.Conclusion Endovascular treatment is a safe and efficient method for treating patients with epileptic attack induced by carotid artery or vertebra-basilar artery stenosis.
