Distal middle cerebral artery dissection with concurrent completely thrombosed aneurysm manifesting as cerebral ischemia. A case report and review of the literature

Viktoria Lamprou, MD; Athanasios Astreinidis, MD; Andjoli Davidhi, MD; Nikolaos Staikoglou, MD; Elisavet Psoma, MD,PhD; Panagiotis Selviaridis, MD,PhD; Stephanos Finitsis, MD, PhD

Radiology Case Reports (Dec 2020)

Distal middle cerebral artery dissection with concurrent completely thrombosed aneurysm manifesting as cerebral ischemia. A case report and review of the literature

Viktoria Lamprou, MD,
Athanasios Astreinidis, MD,
Andjoli Davidhi, MD,
Nikolaos Staikoglou, MD,
Elisavet Psoma, MD,PhD,
Panagiotis Selviaridis, MD,PhD,
Stephanos Finitsis, MD, PhD

Affiliations

Viktoria Lamprou, MD: Radiology Department, AHEPA University General Hospital, Aristotle University of Thessaloniki, Kiriakidi 1 546 21 Thessaloniki, Greece; Corresponding author.
Athanasios Astreinidis, MD: Department of Interventional Radiology, AHEPA University General Hospital, Aristotle University of Thessaloniki, Kiriakidi 1 546 21 Thessaloniki, Greece
Andjoli Davidhi, MD: Department of Interventional Radiology, AHEPA University General Hospital, Aristotle University of Thessaloniki, Kiriakidi 1 546 21 Thessaloniki, Greece
Nikolaos Staikoglou, MD: Radiology Department, AHEPA University General Hospital, Aristotle University of Thessaloniki, Kiriakidi 1 546 21 Thessaloniki, Greece
Elisavet Psoma, MD,PhD: Department of Interventional Radiology, AHEPA University General Hospital, Aristotle University of Thessaloniki, Kiriakidi 1 546 21 Thessaloniki, Greece
Panagiotis Selviaridis, MD,PhD: First Department of Neurosurgery, AHEPA University General Hospital, Aristotle University of Thessaloniki, Kiriakidi 1 546 21 Thessaloniki, Greece
Stephanos Finitsis, MD, PhD: Department of Interventional Radiology, AHEPA University General Hospital, Aristotle University of Thessaloniki, Kiriakidi 1 546 21 Thessaloniki, Greece

Journal volume & issue: Vol. 15, no. 12
pp. 2582 – 2588

Abstract

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We report the case of a 70-year-old woman who presented with an acute ischemic stroke involving the left frontal operculum secondary to an M2 dissection and a concomitant completely thrombosed aneurysm of the left distal middle cerebral artery. Initial imaging work-up was inconclusive due to the lack of typical radiographic features and only repeated imaging studies pointed towards the presence of an arterial dissection combined with a completely thrombosed aneurysm. The aneurysm was partially clipped and wrapped with excellent clinical result at 1-year follow-up. The clinical, imaging and therapeutic challenges of this rare entity are discussed.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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