Rapid improvement of angiostenosis due to isolated middle cerebral artery dissection

Rapid improvement of angiostenosis due to isolated middle cerebral artery dissection AbstractRationale:Intracranial arterial dissection is a rare cause of ischemic stroke, and isolated middle cerebral artery dissection (MCAD) is extremely rare, having been described only in sparse case reports. The etiology, clinicoradiological features, and treatment strategies are not yet well understood.Patient concerns:A 49-year-old man presented with rapidly progressive aphasia and motor disturbance of the right limbs.Diagnoses:Neuroimaging evaluation confirmed a diagnosis of MCAD and cerebral infarction.Interventions:The patient underwent oral anti-platelet therapy (100 mg aspirin daily).Outcomes:The patient recovered to normal status within 2 weeks following antiplatelet treatment. During a follow-up period of 2 years, he remained neurologically asymptomatic and led a virtually normal life.Lessons:It is crucial for clinicians to be aware of this entity, as the diagnosis of MCAD is quite challenging. Antiplatelet therapy is effective for treating this condition, and the prognosis can be favorable. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Medicine Wolters Kluwer Health

Rapid improvement of angiostenosis due to isolated middle cerebral artery dissection

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Publisher
Wolters Kluwer
Copyright
Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc.
ISSN
0025-7974
eISSN
1536-5964
D.O.I.
10.1097/MD.0000000000009695
Publisher site
See Article on Publisher Site

Abstract

AbstractRationale:Intracranial arterial dissection is a rare cause of ischemic stroke, and isolated middle cerebral artery dissection (MCAD) is extremely rare, having been described only in sparse case reports. The etiology, clinicoradiological features, and treatment strategies are not yet well understood.Patient concerns:A 49-year-old man presented with rapidly progressive aphasia and motor disturbance of the right limbs.Diagnoses:Neuroimaging evaluation confirmed a diagnosis of MCAD and cerebral infarction.Interventions:The patient underwent oral anti-platelet therapy (100 mg aspirin daily).Outcomes:The patient recovered to normal status within 2 weeks following antiplatelet treatment. During a follow-up period of 2 years, he remained neurologically asymptomatic and led a virtually normal life.Lessons:It is crucial for clinicians to be aware of this entity, as the diagnosis of MCAD is quite challenging. Antiplatelet therapy is effective for treating this condition, and the prognosis can be favorable.

Journal

MedicineWolters Kluwer Health

Published: Jan 1, 2018

References

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