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 journalArticle

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

Fingerprint

Songbirds
Internal Carotid Artery Dissection
Stroke
Collateral Circulation
Emergency Treatment
Internal Carotid Artery
Therapeutics
Hemodynamics

Keywords

  • Cerebral haemodynamics
  • Intracranial stent
  • Transcranial Doppler

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

A Case of Reversed Robin Hood Syndrome : A Prognostic Indicator for an Urgent Therapy. / Zivi, I.; Hamam, M.; Misaggi, G.; Stanzione, P.; Diomedi, M.

In: EJVES Extra, Vol. 24, No. 6, 12.2012.

Research output: Contribution to journalArticle

Zivi, I. ; Hamam, M. ; Misaggi, G. ; Stanzione, P. ; Diomedi, M. / A Case of Reversed Robin Hood Syndrome : A Prognostic Indicator for an Urgent Therapy. In: EJVES Extra. 2012 ; Vol. 24, No. 6.
@article{f4ce69622f984c88846610af9fafbe3d,
title = "A Case of Reversed Robin Hood Syndrome: A Prognostic Indicator for an Urgent Therapy",
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.",
keywords = "Cerebral haemodynamics, Intracranial stent, Transcranial Doppler",
author = "I. Zivi and M. Hamam and G. Misaggi and P. Stanzione and M. Diomedi",
year = "2012",
month = "12",
doi = "10.1016/j.ejvsextra.2012.10.001",
language = "English",
volume = "24",
journal = "EJVES Extra",
issn = "1533-3167",
publisher = "Elsevier BV",
number = "6",

}

TY - JOUR

T1 - A Case of Reversed Robin Hood Syndrome

T2 - A Prognostic Indicator for an Urgent Therapy

AU - Zivi, I.

AU - Hamam, M.

AU - Misaggi, G.

AU - Stanzione, P.

AU - Diomedi, M.

PY - 2012/12

Y1 - 2012/12

N2 - 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.

AB - 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.

KW - Cerebral haemodynamics

KW - Intracranial stent

KW - Transcranial Doppler

UR - http://www.scopus.com/inward/record.url?scp=84875811929&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84875811929&partnerID=8YFLogxK

U2 - 10.1016/j.ejvsextra.2012.10.001

DO - 10.1016/j.ejvsextra.2012.10.001

M3 - Article

VL - 24

JO - EJVES Extra

JF - EJVES Extra

SN - 1533-3167

IS - 6

ER -