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

被引：0

作者：

Lin, Jing ^{[1
]}

Xian, Wenbiao ^{[1
]}

Lai, Rong ^{[1
]}

Li, Jiaoxing ^{[1
]}

Wang, Yufang ^{[2
]}

Sun, Xunsha ^{[1
]}

Sheng, Wenli ^{[1
]}

机构：

[1] Sun Yat Sen Univ, Affiliated Hosp 1, Dept Neurol, 58 Zhong Shan Er Lu, Guangzhou 510080, Guangdong, Peoples R China

[2] Sun Yat Sen Univ, Affiliated Hosp 1, Dept Neurosurg, Intens Care Unit, Guangzhou, Guangdong, Peoples R China

来源：

JOURNAL OF INTERNATIONAL MEDICAL RESEARCH | 2019年 / 47卷 / 03期

基金：

中国国家自然科学基金;

关键词：

Bilateral cerebral infarction; atherosclerosis; cardioembolism; anterior cerebral artery; middle cerebral artery; ischemic stroke; magnetic resonance angiography; ISCHEMIC-STROKE; CIRCLE;

D O I：

10.1177/0300060519828930

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

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.

引用

页码：1373 / 1377

页数：5

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