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http://dx.doi.org/10.3340/jkns.2011.49.6.370

Diagnostic Usefulness of High Resolution Cross Sectional MRI in Symptomatic Middle Cerabral Arterial Dissection  

Lee, Hai-Ong (Department of Neurosurgery, Research Institute of Clinical Medicine, Chonbuk National University Medical School and Hospital)
Kwak, Hyo-Sung (Department of Radiology, Research Institute of Clinical Medicine, Chonbuk National University Medical School and Hospital)
Chung, Gyung-Ho (Department of Radiology, Research Institute of Clinical Medicine, Chonbuk National University Medical School and Hospital)
Hwang, Seung-Bae (Department of Radiology, Research Institute of Clinical Medicine, Chonbuk National University Medical School and Hospital)
Publication Information
Journal of Korean Neurosurgical Society / v.49, no.6, 2011 , pp. 370-372 More about this Journal
Abstract
Dissection of the middle cerebral artery (MCA) is less frequent compared with dissection of the vertebrobasilar system or carotid artery. Recently, high-resolution cross sectional MR imaging (HRMRI) has emerged as a potential technique for atherosclerotic plaque imaging in MCA, We introduce the findings of HRMRI in a 56-year-old woman with traumatic MCA dissection, HRMRI showed an intimal flap and tapered pseudolumen with intra-luminal hemorrhage, We performed stent deployment about MCA dissection after failed medical treatment Three months later, there was no in-stent restenosis and no further neurological deficit were noted.
Keywords
Dissection; Magnetic resonance imaging; Stent;
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1 Dorros G, Cohn JM, Palmer LE : Stent deployment resolves a petrous carotid artery angioplasty dissection. AJNR Am J Neuroradiol 19 : 392-394, 1998
2 Dziewas R, Konrad C, Dräger B, Evers S, Besselmann M, Lüdemann P,et al. : Cervical artery dissection-clinical features, risk factors, therapy and outcome in 126 patients. J Neurol 250 : 1179-1184, 2003   DOI   ScienceOn
3 Suh DC, Kim JK, Choi JW, Choi BS, Pyun HW, Choi YJ, et al. : Intracranial stenting of severe symptomatic intracranial stenosis : results of 100 consecutive patients. AJNR Am J Neuroradiol 29 : 781-785, 2008   DOI   ScienceOn
4 Surdell DL, Bernstein RA, Hage ZA, Batjer HH, Bendok BR : Symptomatic spontaneous intracranial carotid artery dissection treated with a self-expandable intracranial stent : a case report. Surg Neurol 71 : 604-609, 2009   DOI   ScienceOn
5 Yoshimoto Y, Wakai S : Unruptured intracranial vertebral artery dissection. Clinical course and serial radiographic imaging. Stroke 28 : 370-374, 1997   DOI   ScienceOn
6 Kurino M, Yoshioka S, Ushio Y : Spontaneous dissection aneurysms of anterior and middle cerebral artery associated with brain infarction : a case report and review of the literature. Surg Neurol 57 : 428-436; discussion 436-438, 2002   DOI   ScienceOn
7 Li ML, Xu WH, Song L, Feng F, You H, Ni J, et al. : Atherosclerosis of middle cerebral artery : evaluation with high-resolution MR imaging at 3T. Atherosclerosis 204 : 447-452, 2009   DOI   ScienceOn
8 Lin CH, Jeng JS, Yip PK : Middle cerebral artery dissections : differences between isolated and extended dissection of internal carotid artery. J Neurol Sci 235 : 37-44, 2005   DOI
9 Mobbs RJ, Chandran KN : Traumatic middle cerebral artery occlusion: case report and review of pathogenesis. Neurol India 49 : 158-161, 2001
10 Ohkuma H, Suzuki S, Kikkawa T, Shimamura N : Neuroradiologic and clinical features of arterial dissection of the anterior cerebral artery. AJNR Am J Neuroradiol 24 : 691-699, 2003
11 Ryu CW, Jahng GH, Kim EJ, Choi WS, Yang DM : High resolution wall and lumen MRI of the middle cerebral arteries at 3 Telsa. Cerebrovasc Dis 27 : 433-442, 2009   DOI   ScienceOn
12 Schievink WI, Mokri B, Piepgras DG : Spontaneous dissections of cervicocephalic arteries in childhood and adolescence. Neurology 44 : 1607-1612, 1994   DOI   ScienceOn
13 Hashimoto H, Iida J, Shin Y, Hironaka Y, Sakaki T : Subarachnoid hemorrhage from intracranial dissecting aneurysms of the anterior circulation : two case reports. Neurol Med Chir (Tokyo) 39 : 442-446, 1999   DOI
14 Hochberg FH, Bean C, Fisher CM, Roberson GH : Stroke in a 15-year-old girl secondary to terminal carotid dissection. Neurology 25 : 725-729, 1975   DOI
15 Koyama S, Kotani A, Sasaki J : Spontaneous dissecting aneurysm of the anterior cerebral artery : report of two cases. Surg Neurol 46 : 55-61, 1996   DOI   ScienceOn
16 Iwamuro Y, Jito J, Shirahata M, Tokime T, Hosotani K, Tokuriki Y : Transient ischemic attack due to dissection of the middle cerebral artery. Neurol Med Chir (Tokyo) 41 : 399-401, 2001   DOI   ScienceOn