A Case of Reversed Robin Hood Syndrome: A Prognostic Indicator for an Urgent Therapy

I. Zivi, M. Hamam, G. Misaggi, P. Stanzione, M. Diomedi

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: In acute stroke, the diagnosis of reversed Robin Hood syndrome (RRHS) by transcranial Doppler (TCD) helps to identify patients at high risk for neurological deterioration. Report: A patient with left intracranial internal carotid artery (ICA) dissection and concomitant inadequate collateral circulation suffered from recurrent ipsilateral ischaemic symptoms, not prevented by the best medical treatment. TCD showed an RRHS. Stenting of ICA could restore an adequate flow with disappearance of the RRHS and prevention of further episodes. Discussion: An invasive emergency treatment should be considered in those stroke patients in which TCD detects an inadequate haemodynamic status.

Original languageEnglish
JournalEJVES Extra
Volume24
Issue number6
DOIs
Publication statusPublished - Dec 2012

Keywords

  • Cerebral haemodynamics
  • Intracranial stent
  • Transcranial Doppler

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

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