Spontaneous Middle Cerebral Artery MCA dissection and stenosis: role of vessel wall imaging and 3D-RA endoluminal view as adjunct diagnostic tools in endovascular therapy
Intracranial dissection has a wide spectrum of clinical presentation from causing intracranial hemorrhage to steno-occlusive ischemia. Anterior intracranial circulation is an uncommon site for dissection. Multimodality imaging is required before deciding on the best treatment for each patient. We pr...
| Main Authors: | , , , , |
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| Format: | Article |
| Published: |
Elsevier
2021
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| Online Access: | http://psasir.upm.edu.my/id/eprint/95135/ |
| Summary: | Intracranial dissection has a wide spectrum of clinical presentation from causing intracranial hemorrhage to steno-occlusive ischemia. Anterior intracranial circulation is an uncommon site for dissection. Multimodality imaging is required before deciding on the best treatment for each patient. We present a case of left middle cerebral artery dissection causing steno-occlusive ischemia and hypoperfusion. This case demonstrates how MRI vessel wall imaging and endoluminal view of three-dimensional rotational angiogram as an adjunct tool to help us diagnosed and achieve optimum endovascular therapy for our patients. |
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