Chronic Recanalization of Dissection of the Distal Anterior Cerebral Artery: Case Report and Review of the Literature

The natural history of atraumatic idiopathic dissection of the distal anterior cerebral artery is still unclear. We present a 38-year-old man who had dissection of the left A2 segment of this vessel associated with subintimal hematoma and infarction. Because of complete stroke in acute stage, he did...

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Bibliographic Details
Main Authors: Shuichiro Asano, Tetsuo Hara
Format: Article
Language:English
Published: Wiley 2009-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2009/303695
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Summary:The natural history of atraumatic idiopathic dissection of the distal anterior cerebral artery is still unclear. We present a 38-year-old man who had dissection of the left A2 segment of this vessel associated with subintimal hematoma and infarction. Because of complete stroke in acute stage, he did not undergo surgery. About three months later, administration of aspirin (100 mg/day) was started. At nine months, magnetic resonance angiography revealed complete recanalization of the A2 dissection. To assess the outcome of dissection, we should observe the patient for at least one year.
ISSN:1687-9627
1687-9635