When the fat hits the brain: salvage STA-MCA bypass for an intracranial ICA occlusion due to a fat embolus

Jorn Van Der Veken; Anna Lo Presti; Michael J. Mulcahy; Marcus Andrew Stoodley

doi:10.1136/bmjno-2019-000017

When the fat hits the brain: salvage STA-MCA bypass for an intracranial ICA occlusion due to a fat embolus

Jorn Van Der Veken^*, Anna Lo Presti, Michael J. Mulcahy, Marcus Andrew Stoodley

^*Corresponding author for this work

Faculty of Medicine, Health and Human Sciences

Research output: Contribution to journal › Article › peer-review

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Abstract

Background Large fat embolus is a rare but potential reversible cause of ischaemic stroke. Methods and results We describe the neurosurgical management of a complete right internal carotid artery occlusion due to a large fat embolus, caused by a mitral valve replacement. Conclusion Knowledge of acute cerebral ischaemia due to large fat embolism and its hallmark 'hypodense artery' is mandatory. Extracranial to intracranial bypass is a feasible rescue treatment after failure of endovascular embolectomy.

Original language	English
Article number	e000017
Pages (from-to)	1-4
Number of pages	4
Journal	BMJ Neurology Open
Volume	2
Issue number	1
DOIs	https://doi.org/10.1136/bmjno-2019-000017
Publication status	Published - 9 Jan 2020

Bibliographical note

Copyright the Author(s) 2020. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

neurosurgery
stroke

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Publisher version (open access)Final published version, 987 KBLicence: CC BY-NC

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abstract = "Background Large fat embolus is a rare but potential reversible cause of ischaemic stroke. Methods and results We describe the neurosurgical management of a complete right internal carotid artery occlusion due to a large fat embolus, caused by a mitral valve replacement. Conclusion Knowledge of acute cerebral ischaemia due to large fat embolism and its hallmark 'hypodense artery' is mandatory. Extracranial to intracranial bypass is a feasible rescue treatment after failure of endovascular embolectomy.",

keywords = "neurosurgery, stroke",

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note = "Copyright the Author(s) 2020. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.",

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AU - Van Der Veken, Jorn

AU - Lo Presti, Anna

AU - Mulcahy, Michael J.

AU - Stoodley, Marcus Andrew

N1 - Copyright the Author(s) 2020. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

PY - 2020/1/9

Y1 - 2020/1/9

N2 - Background Large fat embolus is a rare but potential reversible cause of ischaemic stroke. Methods and results We describe the neurosurgical management of a complete right internal carotid artery occlusion due to a large fat embolus, caused by a mitral valve replacement. Conclusion Knowledge of acute cerebral ischaemia due to large fat embolism and its hallmark 'hypodense artery' is mandatory. Extracranial to intracranial bypass is a feasible rescue treatment after failure of endovascular embolectomy.

AB - Background Large fat embolus is a rare but potential reversible cause of ischaemic stroke. Methods and results We describe the neurosurgical management of a complete right internal carotid artery occlusion due to a large fat embolus, caused by a mitral valve replacement. Conclusion Knowledge of acute cerebral ischaemia due to large fat embolism and its hallmark 'hypodense artery' is mandatory. Extracranial to intracranial bypass is a feasible rescue treatment after failure of endovascular embolectomy.

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ER -

When the fat hits the brain: salvage STA-MCA bypass for an intracranial ICA occlusion due to a fat embolus

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