Suguna Hospital treated a 49-year-old man with type 2 diabetes who experienced sudden giddiness and loss of consciousness for 2-3 minutes. Upon evaluation, the patient had high blood pressure (210/100mmHg) but was neurologically intact with no deficits. Further testing revealed a cerebrovascular event, with acute infarcts in the left parieto-occipital lobe/PCA-MCA and left temporal lobe and caudate nucleus. The patient had a large fibro-fatty plaque in the left common carotid artery, causing 90-95% diameter stenosis. CT-Carotid and cerebral angiogram showed thrombosis of the left distal common carotid artery, causing 80-90% diameter stenosis for a length of 2.8cm.

The hospital managed the case in the ICU with utmost care to prevent further episodes of embolic showers-related events. A vascular surgeon was involved and an urgent left carotid endarterectomy with thrombectomy and patch angioplasty was performed. Post-operatively, the patient was stabilized and walked out of the hospital with no neurological deficits.

The successful outcome of this case can be attributed to the quick identification of the clinical scenario and the timely and skilled surgical intervention provided by the medical team at Suguna Hospital.