PDF(Pubmed)
Abstract：
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.
摘要：
一名80多岁的男子表现为急性发作性失语症和右侧无力，NIH中风量表（NIHSS）为17。他最后一次见到是在演讲前9小时正常。脑部MRI显示左尾状有急性梗塞,扁形核和日冕辐射。MRI血管造影（MRA）显示左主大脑中动脉（MCA）闭塞，并伴有同侧专利重复大脑中动脉（DMCA）。进行机械血栓切除术(MT),他的NIHSS成绩为8.在这份报告中,我们回顾并讨论了在重复的MCA存在下MCA闭塞干预期间的挑战，一种罕见的异常.
