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 |
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container_title | Journal of stroke and cerebrovascular diseases |
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creator | Sakuta, Kenichi, MD Sengoku, Renpei, MD Mitsumura, Hidetaka, MD Kono, Yu, MD Kan, Issei, MD Kaku, Shogo, MD Iguchi, Yasuyuki, MD |
description | 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. |
doi_str_mv | 10.1016/j.jstrokecerebrovasdis.2015.04.008 |
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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.</description><identifier>ISSN: 1052-3057</identifier><identifier>EISSN: 1532-8511</identifier><identifier>DOI: 10.1016/j.jstrokecerebrovasdis.2015.04.008</identifier><identifier>PMID: 26279098</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>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</subject><ispartof>Journal of stroke and cerebrovascular diseases, 2015-10, Vol.24 (10), p.e287-e289</ispartof><rights>National Stroke Association</rights><rights>2015 National Stroke Association</rights><rights>Copyright © 2015 National Stroke Association. 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All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c595t-b63d7511f160b0949c6f1ee108e900b0b926d6f7b565bef469d1ba63ee997363</citedby><cites>FETCH-LOGICAL-c595t-b63d7511f160b0949c6f1ee108e900b0b926d6f7b565bef469d1ba63ee997363</cites><orcidid>0000-0002-7125-7482</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2015.04.008$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3538,27906,27907,45977</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26279098$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sakuta, Kenichi, MD</creatorcontrib><creatorcontrib>Sengoku, Renpei, MD</creatorcontrib><creatorcontrib>Mitsumura, Hidetaka, MD</creatorcontrib><creatorcontrib>Kono, Yu, MD</creatorcontrib><creatorcontrib>Kan, Issei, MD</creatorcontrib><creatorcontrib>Kaku, Shogo, MD</creatorcontrib><creatorcontrib>Iguchi, Yasuyuki, MD</creatorcontrib><title>Malignant Middle Cerebral Artery Infarction Resulting from Dissection of Middle Cerebral Artery</title><title>Journal of stroke and cerebrovascular diseases</title><addtitle>J Stroke Cerebrovasc Dis</addtitle><description>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.</description><subject>acute ischemic stroke</subject><subject>Adult</subject><subject>Cardiovascular</subject><subject>Cerebral Angiography</subject><subject>dissection</subject><subject>Humans</subject><subject>Infarction, Middle Cerebral Artery - diagnosis</subject><subject>Infarction, Middle Cerebral Artery - etiology</subject><subject>Intracranial Aneurysm - complications</subject><subject>Magnetic Resonance Angiography</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>malignant middle cerebral artery infarction</subject><subject>Middle cerebral artery</subject><subject>Middle Cerebral Artery - pathology</subject><subject>Neurology</subject><subject>skin biopsy</subject><issn>1052-3057</issn><issn>1532-8511</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkU9v1DAQxS0Eon_gK6AcEVLCOImd-IJUFiiVtkKC3i3HHldOvXaxk0r77fGyhQOCAydbnuc3M79HyBsKDQXK387NnJcU71BjwinFB5WNy00LlDXQNwDjE3JKWdfWI6P0abkDa-sO2HBCznKeAShlI3tOTlreDgLEeErktfLuNqiwVNfOGI_V5qe58tVFWjDtq6tgVdKLi6H6inn1iwu3lU1xV31wOeOxEu0_vr8gz6zyGV8-nufk5tPHm83nevvl8mpzsa01E2ypJ96ZoQxtKYcJRC80txSRwogCysskWm64HSbG2YS258LQSfEOUYih4905eX20vU_x-4p5kTuXNXqvAsY1SzrQUQDve1Gk749SnWLOCa28T26n0l5SkAfOcpZ_4ywPnCX0snAuJq8e-63TDs1vi19gi2B7FGBZ-sFhklk7DBqNS4WZNNH9X793f9hp74LTyt_hHvMc1xQKXkllbiXIb4fkD8FTVkIXZZ4fEQmypg</recordid><startdate>20151001</startdate><enddate>20151001</enddate><creator>Sakuta, Kenichi, MD</creator><creator>Sengoku, Renpei, MD</creator><creator>Mitsumura, Hidetaka, MD</creator><creator>Kono, Yu, MD</creator><creator>Kan, Issei, MD</creator><creator>Kaku, Shogo, MD</creator><creator>Iguchi, Yasuyuki, MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7125-7482</orcidid></search><sort><creationdate>20151001</creationdate><title>Malignant Middle Cerebral Artery Infarction Resulting from Dissection of Middle Cerebral Artery</title><author>Sakuta, Kenichi, MD ; Sengoku, Renpei, MD ; Mitsumura, Hidetaka, MD ; Kono, Yu, MD ; Kan, Issei, MD ; Kaku, Shogo, MD ; Iguchi, Yasuyuki, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c595t-b63d7511f160b0949c6f1ee108e900b0b926d6f7b565bef469d1ba63ee997363</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>acute ischemic stroke</topic><topic>Adult</topic><topic>Cardiovascular</topic><topic>Cerebral Angiography</topic><topic>dissection</topic><topic>Humans</topic><topic>Infarction, Middle Cerebral Artery - diagnosis</topic><topic>Infarction, Middle Cerebral Artery - etiology</topic><topic>Intracranial Aneurysm - complications</topic><topic>Magnetic Resonance Angiography</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>malignant middle cerebral artery infarction</topic><topic>Middle cerebral artery</topic><topic>Middle Cerebral Artery - pathology</topic><topic>Neurology</topic><topic>skin biopsy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sakuta, Kenichi, MD</creatorcontrib><creatorcontrib>Sengoku, Renpei, MD</creatorcontrib><creatorcontrib>Mitsumura, Hidetaka, MD</creatorcontrib><creatorcontrib>Kono, Yu, MD</creatorcontrib><creatorcontrib>Kan, Issei, MD</creatorcontrib><creatorcontrib>Kaku, Shogo, MD</creatorcontrib><creatorcontrib>Iguchi, Yasuyuki, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of stroke and cerebrovascular diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sakuta, Kenichi, MD</au><au>Sengoku, Renpei, MD</au><au>Mitsumura, Hidetaka, MD</au><au>Kono, Yu, MD</au><au>Kan, Issei, MD</au><au>Kaku, Shogo, MD</au><au>Iguchi, Yasuyuki, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Malignant Middle Cerebral Artery Infarction Resulting from Dissection of Middle Cerebral Artery</atitle><jtitle>Journal of stroke and cerebrovascular diseases</jtitle><addtitle>J Stroke Cerebrovasc Dis</addtitle><date>2015-10-01</date><risdate>2015</risdate><volume>24</volume><issue>10</issue><spage>e287</spage><epage>e289</epage><pages>e287-e289</pages><issn>1052-3057</issn><eissn>1532-8511</eissn><abstract>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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>26279098</pmid><doi>10.1016/j.jstrokecerebrovasdis.2015.04.008</doi><orcidid>https://orcid.org/0000-0002-7125-7482</orcidid></addata></record> |
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subjects | 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 |
title | Malignant Middle Cerebral Artery Infarction Resulting from Dissection of Middle Cerebral Artery |
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