64-year-old man with multiple cerebral lesions.

摘要

CLINICAL HISTORY A 64 year-old man presented with multiple transient cerebral ischemic attacks progressing for a week consisting of right-sided hemiparesis. The patient had a history of squamous cell cancer of the pharynx managed by chemotherapy and radiotherapy 10 years earlier. Six years ago, he had a lingual recurrence of his cancer, for which he underwent a partial glossectomy with left cervical dissection. Radiologic investigation revealed a subtotal stenosis of the left internal carotid artery without cerebral infarction (Figure 1 and 2).