Dissection of anterior cerebral artery presenting with cerebral infarction in contralateral frontal lobe

被引:2
|
作者
Nomura, Motohiro [1 ]
Tamase, Akira [2 ]
Mori, Kentaro [2 ]
Iida, Yu [2 ]
Kawabata, Yuichi [3 ]
Nakano, Tatsu [3 ]
Suzuki, Kei-ichiro [4 ]
Mishima, Takae [4 ]
Hirano, Ken-ichi [4 ]
Takahashi, Mitsuyuki [4 ]
机构
[1] Kanto Rosai Hosp, Dept Neurosurg, Kawasaki, Kanagawa, Japan
[2] Yokohama Sakae Kyosai Hosp, Dept Neurosurg, Yokohama, Kanagawa, Japan
[3] Yokohama Sakae Kyosai Hosp, Dept Neurol, Yokohama, Kanagawa, Japan
[4] Yokohama Sakae Kyosai Hosp, Dept Radiol, Yokohama, Kanagawa, Japan
来源
NEUROLOGY AND CLINICAL NEUROSCIENCE | 2018年 / 6卷 / 06期
关键词
anterior cerebral artery; bihemispheric; cerebral infarction; contralateral; dissection;
D O I
10.1111/ncn3.12228
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Although diagnosis of dissection in the anterior cerebral artery (ACA) has increased, cerebral infarction in frontal lobe due to contralateral ACA dissection is rare. A 52-year-old woman developed headache and motor weakness in the left hemibody. Magnetic resonance images demonstrated a fresh cerebral infarction in the right frontal lobe and thin right ACA. The initial diagnosis was a cerebral infarction in the right frontal lobe due to right ACA stenosis. Angiography performed nine days after onset showed dilatation and stenosis of the left ACA, and a small diameter of the right ACA. An intramural thrombus in the left ACA was demonstrated on MRI. The diagnosis was a cerebral infarction in the right frontal lobe due to dissection of the contralateral left A2 and A3 of ACA. There is a possibility that cerebral infarction in frontal lobe is induced by the contralateral ACA abnormality in a case with bihemispheric ACA.
引用
收藏
页码:185 / 187
页数:3
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