A 60-year-old male presents with acute onset of right-sided weakness. He has a history of left carotid endarterectomy 2 weeks ago. His surgical wound ...

Question

A 60-year-old male presents with acute onset of right-sided weakness. He has a history of left carotid endarterectomy 2 weeks ago. His surgical wound appears intact. What is the most likely cause of his symptoms?

Accepted Answer

Post-operative carotid artery thrombosis or embolism from the endarterectomy site causing acute ischaemic stroke - this is a surgical emergency requiring immediate re-exploration

Answer

Cervical radiculopathy from surgical positioning

Answer

New migraine with aura

Answer

Bell's palsy - facial nerve inflammation

Answer

Hypoglycaemia from post-operative dietary changes

uk-dipimc MCQ (SBA): Post-Carotid Endarterectomy Stroke

A 60-year-old male presents with acute onset of right-sided weakness. He has a history of left carotid endarterectomy 2 weeks ago. His surgical wound appears intact. What is the most likely cause of his symptoms?