Images in Acute Ischemic Event of Bilateral Total Internal Carotid Artery: A Case Report and Review

Cerebrovascular disease represents one of the leading causes of morbidity worldwide and is the main cause of acquired disabilities. The degree of neurological damage varies according to the extent of the infarction and hemispheric dominance. The middle cerebral artery is the most commonly affected vessel in cerebrovascular pathology. Although rare, obstruction of both internal carotid arteries can occur and is rarely described. This article aims to guide the clinician in an organized manner to detect the severity of the disease and thereby guide the treatment. Without a doubt, it is important that medical centers, at least in regional centers, have both technological equipment and trained personnel to care for patients with these characteristics and thus achieve a favorable result.