Rare case of duplicated middle cerebral artery and acute ischaemic stroke managed successfully with mechanical thrombectomy

被引：0
|
作者：
Phuyal, Subash [1 ]
Thapa, Lekhjung [2 ]
Mishra, Biswa Mohan [3 ]
Nayak, Manoj Kumar [4 ]
机构：
[1] Upendra Devkota Mem Natl Inst Neurol & Allied Sci, Neuroimaging & Intervent Radiol, Kathmandu, Nepal
[2] Natl Neuro Ctr, Neurol, Kathmandu, Nepal
[3] All india Inst Med Sci, Dept Neurol, New Delhi, Delhi, India
[4] AIIMS Bhubaneswar, Radiodiagnosis, Bhubaneswar, Orissa, India
来源：
BMJ CASE REPORTS | 2023年 / 16卷 / 11期
关键词：
neuroimaging; stroke; ACCESSORY ARTERY; MCA;
D O I：
10.1136/bcr-2022-251221
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A man in his early 80s presented with acute onset aphasia and right-sided weakness with an NIH Stroke Scale (NIHSS) of 17. He was last seen normal 9 hours before the presentation. MRI of the brain showed acute infarcts in the left caudate, lentiform nucleus and corona radiata. MRI angiogram (MRA) revealed an occluded left main middle cerebral artery (MCA) and an associated ipsilateral patent duplicated middle cerebral artery (DMCA). Mechanical thrombectomy (MT) was performed, and he was discharged with an NIHSS of 8. In this report, we review and discuss the challenges during the intervention of MCA occlusion in the presence of duplicated MCA, a rare anomaly.
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页数：3
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