Distal middle cerebral artery dissection with concurrent completely thrombosed aneurysm manifesting as cerebral ischemia. A case report and review of the literature
We report the case of a 70-year-old woman who presented with an acute ischemic stroke involving the left frontal operculum secondary to an M2 dissection and a concomitant completely thrombosed aneurysm of the left distal middle cerebral artery. Initial imaging work-up was inconclusive due to the lac...
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| Format: | Article |
| Language: | English |
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Elsevier
2020-12-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043320305100 |
| _version_ | 1818682052057235456 |
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| author | Viktoria Lamprou, MD Athanasios Astreinidis, MD Andjoli Davidhi, MD Nikolaos Staikoglou, MD Elisavet Psoma, MD,PhD Panagiotis Selviaridis, MD,PhD Stephanos Finitsis, MD, PhD |
| author_facet | Viktoria Lamprou, MD Athanasios Astreinidis, MD Andjoli Davidhi, MD Nikolaos Staikoglou, MD Elisavet Psoma, MD,PhD Panagiotis Selviaridis, MD,PhD Stephanos Finitsis, MD, PhD |
| author_sort | Viktoria Lamprou, MD |
| collection | DOAJ |
| description | We report the case of a 70-year-old woman who presented with an acute ischemic stroke involving the left frontal operculum secondary to an M2 dissection and a concomitant completely thrombosed aneurysm of the left distal middle cerebral artery. Initial imaging work-up was inconclusive due to the lack of typical radiographic features and only repeated imaging studies pointed towards the presence of an arterial dissection combined with a completely thrombosed aneurysm. The aneurysm was partially clipped and wrapped with excellent clinical result at 1-year follow-up. The clinical, imaging and therapeutic challenges of this rare entity are discussed. |
| first_indexed | 2024-12-17T10:12:42Z |
| format | Article |
| id | doaj.art-670091633f644dc5bc4e53f4b756bb20 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-12-17T10:12:42Z |
| publishDate | 2020-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-670091633f644dc5bc4e53f4b756bb202022-12-21T21:52:59ZengElsevierRadiology Case Reports1930-04332020-12-01151225822588Distal middle cerebral artery dissection with concurrent completely thrombosed aneurysm manifesting as cerebral ischemia. A case report and review of the literatureViktoria Lamprou, MD0Athanasios Astreinidis, MD1Andjoli Davidhi, MD2Nikolaos Staikoglou, MD3Elisavet Psoma, MD,PhD4Panagiotis Selviaridis, MD,PhD5Stephanos Finitsis, MD, PhD6Radiology Department, AHEPA University General Hospital, Aristotle University of Thessaloniki, Kiriakidi 1 546 21 Thessaloniki, Greece; Corresponding author.Department of Interventional Radiology, AHEPA University General Hospital, Aristotle University of Thessaloniki, Kiriakidi 1 546 21 Thessaloniki, GreeceDepartment of Interventional Radiology, AHEPA University General Hospital, Aristotle University of Thessaloniki, Kiriakidi 1 546 21 Thessaloniki, GreeceRadiology Department, AHEPA University General Hospital, Aristotle University of Thessaloniki, Kiriakidi 1 546 21 Thessaloniki, GreeceDepartment of Interventional Radiology, AHEPA University General Hospital, Aristotle University of Thessaloniki, Kiriakidi 1 546 21 Thessaloniki, GreeceFirst Department of Neurosurgery, AHEPA University General Hospital, Aristotle University of Thessaloniki, Kiriakidi 1 546 21 Thessaloniki, GreeceDepartment of Interventional Radiology, AHEPA University General Hospital, Aristotle University of Thessaloniki, Kiriakidi 1 546 21 Thessaloniki, GreeceWe report the case of a 70-year-old woman who presented with an acute ischemic stroke involving the left frontal operculum secondary to an M2 dissection and a concomitant completely thrombosed aneurysm of the left distal middle cerebral artery. Initial imaging work-up was inconclusive due to the lack of typical radiographic features and only repeated imaging studies pointed towards the presence of an arterial dissection combined with a completely thrombosed aneurysm. The aneurysm was partially clipped and wrapped with excellent clinical result at 1-year follow-up. The clinical, imaging and therapeutic challenges of this rare entity are discussed.http://www.sciencedirect.com/science/article/pii/S1930043320305100Middle cerebral artery infarctThrombosed intracranial aneurysmDissecting aneurysmMRIDSA |
| spellingShingle | Viktoria Lamprou, MD Athanasios Astreinidis, MD Andjoli Davidhi, MD Nikolaos Staikoglou, MD Elisavet Psoma, MD,PhD Panagiotis Selviaridis, MD,PhD Stephanos Finitsis, MD, PhD Distal middle cerebral artery dissection with concurrent completely thrombosed aneurysm manifesting as cerebral ischemia. A case report and review of the literature Radiology Case Reports Middle cerebral artery infarct Thrombosed intracranial aneurysm Dissecting aneurysm MRI DSA |
| title | Distal middle cerebral artery dissection with concurrent completely thrombosed aneurysm manifesting as cerebral ischemia. A case report and review of the literature |
| title_full | Distal middle cerebral artery dissection with concurrent completely thrombosed aneurysm manifesting as cerebral ischemia. A case report and review of the literature |
| title_fullStr | Distal middle cerebral artery dissection with concurrent completely thrombosed aneurysm manifesting as cerebral ischemia. A case report and review of the literature |
| title_full_unstemmed | Distal middle cerebral artery dissection with concurrent completely thrombosed aneurysm manifesting as cerebral ischemia. A case report and review of the literature |
| title_short | Distal middle cerebral artery dissection with concurrent completely thrombosed aneurysm manifesting as cerebral ischemia. A case report and review of the literature |
| title_sort | distal middle cerebral artery dissection with concurrent completely thrombosed aneurysm manifesting as cerebral ischemia a case report and review of the literature |
| topic | Middle cerebral artery infarct Thrombosed intracranial aneurysm Dissecting aneurysm MRI DSA |
| url | http://www.sciencedirect.com/science/article/pii/S1930043320305100 |
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