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http://dx.doi.org/10.3340/jkns.2014.55.2.99

Sphenoid Ridge Meningioma Presenting as Acute Cerebral Infarction  

Ko, Jun Kyeung (Department of Neurosurgery, Medical Research Institute, Pusan National University Hospital)
Cha, Seung Heon (Department of Neurosurgery, Medical Research Institute, Pusan National University Hospital)
Choi, Chang Hwa (Department of Neurosurgery, Medical Research Institute, Pusan National University Hospital)
Publication Information
Journal of Korean Neurosurgical Society / v.55, no.2, 2014 , pp. 99-102 More about this Journal
Abstract
A previously healthy 52-year-old man presented to the emergency room with acute onset left hemiparesis and dysarthria. Brain computed tomography and magnetic resonance examinations revealed acute cerebral infarction in the right middle cerebral artery territory and a sphenoid ridge meningioma encasing the right carotid artery terminus. Cerebral angiography demonstrated complete occlusion of the right proximal M1 portion. A computed tomography perfusion study showed a wide area of perfusion-diffusion mismatch. Over the ensuing 48 hours, left sided weakness deteriorated despite medical treatment. Emergency extracranial-intracranial bypass was performed using a double-barrel technique, leaving the tumor as it was, and subsequently his neurological function was improved dramatically. We present a rare case of sphenoid ridge meningioma causing acute cerebral infarction as a result of middle cerebral artery compression.
Keywords
Acute cerebral infarction; Meningioma; Middle cerebral artery; Occlusion;
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