Document Detail

Multimodality MRI and MRA for Decision Making in Minor Stroke: A Case with Internal Carotid and Distal Middle Cerebral Artery Occlusion.
MedLine Citation:
PMID:  20572908     Owner:  NLM     Status:  In-Data-Review    
We report the case of a 65-year-old man who presented with mild, rapidly improving stroke symptoms. Acute magnetic resonance imaging disclosed no diffusion abnormalities but a tandem internal carotid artery/distal middle cerebral artery occlusion associated with a large corresponding deficit on perfusion imaging. In addition, there was a cross-flow to the middle cerebral artery via the anterior communicating artery. Therefore, intravenous thrombolysis was initiated that led to rapid reopening of the middle cerebral artery and left the patient free of symptoms. Our observation highlights the possible benefit of systemic thrombolytic treatment even in the setting of an internal carotid artery occlusion and the substantial contribution of multimodal magnetic resonance imaging for a risk-benefit estimate.
Markus Beitzke; Christian Enzinger; Dietrich Beitzke; Kurt Niederkorn; Hans Offenbacher; Margret Niederkorn-Duft; Franz Fazekas
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of neuroimaging : official journal of the American Society of Neuroimaging     Volume:  21     ISSN:  1552-6569     ISO Abbreviation:  J Neuroimaging     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-03-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9102705     Medline TA:  J Neuroimaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e156-8     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 by the American Society of Neuroimaging.
From the Department of Neurology, Medical University of Graz, Graz, Austria (MB, CE, KN, FF); Section of Neuroradiology, Department of Radiology, Medical University of Graz, Graz, Austria (CE, DB); and Department of Neurology, Landeskrankenhaus Knittelfeld (HO, MN).
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