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Middle cerebral artery dolichoectasia in a young woman with a previous stroke
Author(s) -
Puca A.,
Marchese E.,
Esposito G.,
Calcagni M. L.,
Di Lazzaro V.
Publication year - 2007
Publication title -
european journal of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.881
H-Index - 124
eISSN - 1468-1331
pISSN - 1351-5101
DOI - 10.1111/j.1468-1331.2006.01526.x
Subject(s) - medicine , middle cerebral artery , hemiparesis , stroke (engine) , lesion , cardiology , cerebral arteries , pathological , anterior cerebral artery , neurological examination , radiology , ischemic stroke , cerebral hemisphere , magnetic resonance imaging , angiography , ischemia , surgery , mechanical engineering , engineering
We observed a 32‐year‐old female who had suffered from a left hemisphere ischemic stroke with right hemiparesis at the age of seven. At that time, a CT scan demonstrated a left ischemic lesion in nucleo‐capsular region and a cerebral angiogram documented a complete occlusion of the supraclinoid segment of the internal carotid artery. When we observed the patient neurological examination demonstrated a moderate right brachio‐crural hemiparesis. A brain MRI showed an old ischemic lesion involving the left nucleo‐capsular and ‘flow voids’ suggestive for a vascular malformation in the left sylvian region. A cerebral rotational angiogram with 3‐D reconstructions demonstrated a dolichoectatic left middle cerebral artery with an unusual ‘corkscrew’ aspect. Middle cerebral artery dolichoectasia is a rare pathological condition that may manifest with a stroke. The patients with intracranial arterial dolichoectasia (IADE) are most often hypertensive elderly men, and, to the best of our knowledge, an ischemic stroke associated with IADE has never been reported in children.