Bilateral cerebral infarction associated with severe arteriosclerosis in the A1 segment: a case report

Large artery atherosclerosis and cardioembolism are the two major subtypes of ischemic stroke. We herein describe a 75-year-old man with acute complete cerebral infarction in the typical territories of the bilateral anterior cerebral artery (ACA) and left middle cerebral artery. Brain magnetic reson...

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Autores principales: Lin, Jing, Xian, Wenbiao, Lai, Rong, Li, Jiaoxing, Wang, Yufang, Sun, Xunsha, Sheng, Wenli
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6421377/
https://www.ncbi.nlm.nih.gov/pubmed/30760064
http://dx.doi.org/10.1177/0300060519828930
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author Lin, Jing
Xian, Wenbiao
Lai, Rong
Li, Jiaoxing
Wang, Yufang
Sun, Xunsha
Sheng, Wenli
author_facet Lin, Jing
Xian, Wenbiao
Lai, Rong
Li, Jiaoxing
Wang, Yufang
Sun, Xunsha
Sheng, Wenli
author_sort Lin, Jing
collection PubMed
description Large artery atherosclerosis and cardioembolism are the two major subtypes of ischemic stroke. We herein describe a 75-year-old man with acute complete cerebral infarction in the typical territories of the bilateral anterior cerebral artery (ACA) and left middle cerebral artery. Brain magnetic resonance angiography showed that the right A1 segment of the ACA was affected by severe arteriosclerosis and that the right ACA other than the A1 segment was compensated by the left ACA through the anterior communicating artery. Acute cardioembolism only occluded the left anterior circulation but simultaneously blocked the right ACA due to decompensation. We presume that the bilateral cerebral infarctions were caused by chronic atherosclerosis and acute cardioembolism.
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spelling pubmed-64213772019-03-22 Bilateral cerebral infarction associated with severe arteriosclerosis in the A1 segment: a case report Lin, Jing Xian, Wenbiao Lai, Rong Li, Jiaoxing Wang, Yufang Sun, Xunsha Sheng, Wenli J Int Med Res Case Reports Large artery atherosclerosis and cardioembolism are the two major subtypes of ischemic stroke. We herein describe a 75-year-old man with acute complete cerebral infarction in the typical territories of the bilateral anterior cerebral artery (ACA) and left middle cerebral artery. Brain magnetic resonance angiography showed that the right A1 segment of the ACA was affected by severe arteriosclerosis and that the right ACA other than the A1 segment was compensated by the left ACA through the anterior communicating artery. Acute cardioembolism only occluded the left anterior circulation but simultaneously blocked the right ACA due to decompensation. We presume that the bilateral cerebral infarctions were caused by chronic atherosclerosis and acute cardioembolism. SAGE Publications 2019-02-14 2019-03 /pmc/articles/PMC6421377/ /pubmed/30760064 http://dx.doi.org/10.1177/0300060519828930 Text en © The Author(s) 2019 http://creativecommons.org/licenses/by-nc/4.0/ Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Reports
Lin, Jing
Xian, Wenbiao
Lai, Rong
Li, Jiaoxing
Wang, Yufang
Sun, Xunsha
Sheng, Wenli
Bilateral cerebral infarction associated with severe arteriosclerosis in the A1 segment: a case report
title Bilateral cerebral infarction associated with severe arteriosclerosis in the A1 segment: a case report
title_full Bilateral cerebral infarction associated with severe arteriosclerosis in the A1 segment: a case report
title_fullStr Bilateral cerebral infarction associated with severe arteriosclerosis in the A1 segment: a case report
title_full_unstemmed Bilateral cerebral infarction associated with severe arteriosclerosis in the A1 segment: a case report
title_short Bilateral cerebral infarction associated with severe arteriosclerosis in the A1 segment: a case report
title_sort bilateral cerebral infarction associated with severe arteriosclerosis in the a1 segment: a case report
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6421377/
https://www.ncbi.nlm.nih.gov/pubmed/30760064
http://dx.doi.org/10.1177/0300060519828930
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