CASE 371: BCCAO (BILATERAL COMMON CAROTID ARTERY OCCLUSION) Dr PHAN THANH HẢI. MEDIC MEDICAL CENTER, HCMC, VIETNAM

Man 38yo, high BP with headache,

 psoriasis only on hands (see foto of hands),

 in  routine ultrasound screening of  vascular neck detected  bilateral common carotid  stenosis completely with dilated  vertebral arteries  both 2 sites (see  US 1,2= R-L.CCA, US 3-4=R-L/ I+ECA, US 6-7= R-L/ Vert.A).

MSCT Angio showed that completely obstruction of right and left CCA.

Patient has not loss of vision or any neurological symptom.

Blood test on DDMERE [D-DIMER] was in normal level of 270 ng/mL.

Discussion: Do you see the BCCAO case  looked like this ? What is the cause of disease?

Reference: One case of BCCAO.