Malignant Middle Cerebral Artery Infarction Resulting from Dissection of Middle Cerebral Artery

A 30-year-old man presented with headache, left hemiparesis, and uncal herniation. Magnetic resonance imaging showed acute infarction in the right middle cerebral artery (MCA). Lifesaving craniotomy proceeded because of the uncal herniation. Assessment of brain tissue led to a diagnosis of MCA disse...

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Veröffentlicht in:	Journal of stroke and cerebrovascular diseases 2015-10, Vol.24 (10), p.e287-e289
Hauptverfasser:	Sakuta, Kenichi, MD, Sengoku, Renpei, MD, Mitsumura, Hidetaka, MD, Kono, Yu, MD, Kan, Issei, MD, Kaku, Shogo, MD, Iguchi, Yasuyuki, MD
Format:	Artikel
Sprache:	eng
Schlagworte:	acute ischemic stroke Adult Cardiovascular Cerebral Angiography dissection Humans Infarction, Middle Cerebral Artery - diagnosis Infarction, Middle Cerebral Artery - etiology Intracranial Aneurysm - complications Magnetic Resonance Angiography Magnetic Resonance Imaging Male malignant middle cerebral artery infarction Middle cerebral artery Middle Cerebral Artery - pathology Neurology skin biopsy
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Zusammenfassung:	A 30-year-old man presented with headache, left hemiparesis, and uncal herniation. Magnetic resonance imaging showed acute infarction in the right middle cerebral artery (MCA). Lifesaving craniotomy proceeded because of the uncal herniation. Assessment of brain tissue led to a diagnosis of MCA dissection. His skin biopsy showed ultrastructural abnormalities of dermal connective tissue. This is the unique case that dissection was diagnosed from both a biopsy specimen of the MCA and the dermal connective tissue.
ISSN:	1052-3057 1532-8511
DOI:	10.1016/j.jstrokecerebrovasdis.2015.04.008