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 Volume 58, Number 12, June 25, 2002
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Neurology 2002;58:1846-1849
© 2002 American Academy of Neurology
Brief Communications

Sudden coma from acute bilateral internal carotid artery territory infarction

Sun U. Kwon, MD, Sung H. Lee, MD and Jong S. Kim, MD

From the Department of Neurology (Drs. Kwon and Kim), University of Ulsan, Asan Medical Center, Seoul, and Chung Book University (Dr. Lee), Cheong Ju, Korea.

Address correspondence and reprint requests to Dr. Jong S. Kim, Department of Neurology, Asan Medical Center, Song-Pa PO Box 145, Seoul 138-600, South Korea; e-mail: jongskim{at}www.amc.seoul.kr

Six patients with bilateral internal carotid artery occlusion who presented with sudden loss of consciousness, quadriplegia, and initially intact brainstem reflexes are described. They soon lost brainstem reflexes and died within 3 days. The presumed causes of internal carotid artery occlusion were atherothrombosis in three patients and cardiogenic embolism in the others. This catastrophic stroke syndrome mimics severe brainstem stroke and has an extremely poor prognosis.




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