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Issue: Issue 3 (2016) – Supplement 1


Carotid stenosis secondary to head and neck radiation therapy: a case report

Ermal Kurmaku, Erion Dushi, and Jera Kruja
Background: Carotid stenosis secondary to head and neck radiation therapy is becoming increasingly recognized as a cause of stroke in cancer survivors. Although knowledge of its pathology, natural history, and medical, endovascular and surgical therapy has grown proper guidelines are lacking. Case description: We describe a case of a 63 year old man who underwent regular follow up after receiving radiotherapy for a parotid gland cancer. He was never checked for a possible carotid disease until he developed fluctuating neurological signs. At this time the disease became rampant and led to a severe watershed stroke despite medical therapy. Conclusion: It is an emergency for the oncological and stroke societies to bring in new guidelines for the vascular screening of head and neck cancer patients treated with radiotherapy.

Special Issue on Controversies in Neurology. From the 10th World Congress on Controversies in Neurology (CONy), Lisbon, Portugal. 17–20 March 2016.

International Journal of Clinical Neurosciences and Mental Health 2016; 3(Suppl. 1):P25
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