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
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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. 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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.</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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