NDLI: Bihemispheric subcortical infarcts in the middle cerebral artery territory.

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Bihemispheric subcortical infarcts in the middle cerebral artery territory.

Content Provider	Europe PMC
Author	Kataoka, Hiroshi Kumazawa, Masahiro Izumi, Tesseki Ueno, Satoshi
Copyright Year	2011
Abstract	Background and purpose:Previous studies have suggested embolic mechanisms for bihemispheric subcortical infarcts involving the anterior and posterior circulation. However, the mechanism of bihemispheric subcortical infarcts in middle cerebral artery (MCA) territories remains uncertain. We describe a patient with acute bihemispheric subcortical infarcts in restricted MCA territories suggesting an embolic mechanism.Case description:A 62-year-old woman with a history of hypertension and hyperlipidemia suddenly presented with left hemiplegia. Diffusion-weighted and T2-weighted magnetic resolution imaging of the brain showed multiple subcortical high intensity in the MCA territories. There were no acute infarctions in the cerebrum, brain stem, or cerebellum, including cortical lesions. The patient had no carotid, internal carotid artery, or MCA disease.Conclusion:Bihemispheric subcortical infarcts in the MCA territory are likely to have a proximal embolic source and such infarcts could be associated with multiple subcortical infarcts due to small vessel disease.
Related Links	https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC3201104&blobtype=pdf
Journal	Clinical Medicine Insights. Case Reports [Clin Med Insights Case Rep]
Volume Number	4
PubMed Central reference number	PMC3201104
PubMed reference number	22084609
e-ISSN	11795476
DOI	10.4137/ccrep.s7121
Language	English
Publisher	Libertas Academica
Publisher Date	2011-06-01
Access Restriction	Open
Rights License	This is an open access article. Unrestricted non-commercial use is permitted provided the original work is properly cited. © the author(s), publisher and licensee Libertas Academica Ltd.
Subject Keyword	subcortical infarction bihemispheric infarction middle cerebral artery embolic mechanism patent foramen ovale
Content Type	Text
Resource Type	Article
Subject	Medicine

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