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

Abstract

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.

Keywords

• Intracranial stenosis
• Intracranial dissection
• Vessel wall imaging
• Rotational angiography endoluminal view
• Endovascular stenting